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California 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.00 / $251.00 / $251.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $51.50 / $135.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.29 / $65.86 / $108.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $393.93 / $393.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.35 / $213.35 / $266.06