go back

Indiana rates for HCPCS 0704T

Rem Tx Amblyopia Dev Supply 1st Setup&Pt Educaj

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
$34.85 / $34.85 / $67.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.22 / $39.00 / $54.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,499.48 / $52,499.48 / $52,499.48