go back

Kentucky 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
Professional
Modifier
Low / Median / High Price
$23.98 / $33.03 / $44.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,249.87 / $55,999.44 / $83,999.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74,024.27 / $104,998.95 / $104,998.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00