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Lazy Eye Home Device Supply And Setup

Idaho rates for HCPCS 0704T

Supplies the equipment for a home treatment of amblyopia, a 'lazy eye' in which one eye's sight has not developed properly, which works while the child watches screen content through a device that follows both eyes. It covers the initial set-up and teaching the family how to use the equipment.

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $251$2510%50%100%$251Professionalmedian $30 · 10th–90th $30$2570%50%90th$30$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20