CPT 0704T
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Rem tx amblyopia setup&edu
Low
$0
Average
$103
Median
$78
High
$321
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 4.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 89 | $181 | $193 | $79 | 41% | — | $0 – $381 |
| 2 | Bcbs Tx fee schedule · outpatient | 30 | $219 | $201 | $74 | 37% | — | $64 – $370 |
| 3 | Molina facility · case rate · outpatient · +5 other terms | 29 | $53 | $55 | $15 | 28% | — | $31 – $114 |
| 4 | Anthem fee schedule · outpatient · +7 other terms | 24 | $35 | $46 | $37 | 80% | — | $35 – $220 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 18 | $47 | $53 | $19 | 36% | — | $31 – $121 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $45 | $48 | $11 | 23% | — | $30 – $76 |
| 7 | Optum facility · case rate · outpatient | 13 | $42 | $46 | $9 | 21% | — | $37 – $68 |
| 8 | Humana facility · case rate · outpatient · +2 other terms | 8 | $48 | $49 | $2 | 5% | — | $48 – $52 |
| 9 | Aetna Better Health facility · case rate · outpatient | 7 | $57 | $57 | $1 | 1% | — | $55 – $59 |
| 10 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $52 | $53 | $2 | 3% | — | $52 – $57 |
← Hospitals reporting CPT 0704T · Snapshot 20261113T090226Z-3ce6c0b8