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Lazy Eye Home Device Supply And Setup

Utah 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.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $5,012 to $5,012Professionalmedian $5,012 · 10th to 90th $30 to $5,012
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $5,012professional $5,012

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87