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Arizona rates for HCPCS 0704T

Remote treatment of amblyopia using an eye tracking device; device supply with initial set-up and patient education on use of equipment

Facilitymedian $43 · 10th–90th $10–$780%5%10%10th90th$43Professionalmedian $251 · 10th–90th $89–$2510%50%10th$251$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $40.74 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.50 / $131.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $275.42 / $363.08