go back

Utah 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
$2,238.72 / $3,715.35 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $1,445.44 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,819.70 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $6,760.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $3,090.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $1,202.26 / $4,365.16
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,659.59 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $1,258.93 / $2,238.72