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Lazy Eye Home Device Supply And Setup

Virginia 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 $10,000 · 10th–90th $7,413$10,9650%50%10th90th$10,000Professionalmedian $60 · 10th–90th $41$1320%10%10th90th$60$50.0$200.0$1.0K$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. 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
$40.74
Median
$56.23
Typical High
$81.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78