| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $1,202.26 | $5,248.07 | |
Cigna
| Professional | $162.18 | $204.17 | $4,897.79 | |
United
| Professional | $165.96 | $2,041.74 | $6,025.60 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $1,202.26 | $5,248.07 | |
Cigna
| Professional | $162.18 | $204.17 | $4,897.79 | |
United
| Professional | $165.96 | $2,041.74 | $6,025.60 |