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New York 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
$45.97 / $54.09 / $92.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25