Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.03 | $133.91 | $186.73 | |
CareFirst
| Professional | $86.92 | $86.92 | $113.51 | |
Cigna
| Professional | $86.26 | $141.12 | $283.11 | |
Kaiser Permanente
| Professional | $143.29 | $181.98 | $313.26 | |
United
| Professional | $126.84 | $169.46 | $295.11 | |
Wellpoint
| Professional | $126.20 | $126.20 | $201.95 |