go back

Maine rates for HCPCS 36465

Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $1,621.81 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $257.04 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.83 / $380.19 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $2,398.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $1,202.26 / $2,454.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $13,489.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $1,479.11 / $2,630.27
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $1,412.54 / $2,630.27