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Pennsylvania 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
$832.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.92 / $1,432.90 / $2,089.86
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,685.28 / $2,685.28 / $3,780.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.65 / $1,013.65 / $1,013.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.73 / $2,079.06 / $2,761.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,546.09 / $3,118.58 / $4,142.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.29 / $272.08 / $2,400.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.89 / $1,923.89 / $1,995.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.55 / $2,680.22 / $3,937.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $1,368.75 / $1,505.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,389.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.92 / $1,432.90 / $2,449.64
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,685.28 / $3,670.41 / $3,780.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.66 / $1,187.81 / $2,185.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $284.85 / $2,376.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.96 / $135.11 / $1,679.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.96 / $135.11 / $1,372.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.37 / $1,822.65 / $2,918.43