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Lazy Eye Home Device Supply And Setup

New Hampshire 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 $4,169 · 10th–90th $3,631$5,7540%50%10th90th$4,169Professionalmedian $83 · 10th–90th $52$2510%10%20%10th90th$83$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$251.19
Median
$251.19
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$120.23
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$5,754.40