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Ohio 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
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $257.00
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
$29.72 / $48.55 / $78.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,279.93 / $31,849.69 / $68,249.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57,749.43 / $70,874.30 / $74,999.25