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Lazy Eye Home Device Supply And Setup

Indiana 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 $35 · 10th–90th $35$680%50%90th$35Professionalmedian $49 · 10th–90th $32$2510%20%10th90th$49$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$72.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75