Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
Medicare pricing data for 2,427 providers across 48 states
Prices vary significantly by location — from $769 in New Hampshire to $1,553 in District of Columbia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS code 36465) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,319, but hospitals typically charge $4,306 — a 3.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,319, your out-of-pocket cost would be approximately $263.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $1,047 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,553 | $12,264 | 7 | 245 | +17.7% |
| New York | $1,550 | $6,881 | 196 | 6,646 | +17.5% |
| New Jersey | $1,510 | $6,428 | 126 | 4,311 | +14.4% |
| California | $1,459 | $4,285 | 226 | 9,812 | +10.6% |
| Maryland | $1,451 | $3,552 | 59 | 2,376 | +10.0% |
| Connecticut | $1,415 | $4,477 | 46 | 1,235 | +7.2% |
| Hawaii | $1,392 | $4,292 | 5 | 77 | +5.6% |
| Virginia | $1,379 | $5,362 | 61 | 1,464 | +4.5% |
| Rhode Island | $1,374 | $6,029 | 8 | 58 | +4.1% |
| Maine | $1,332 | $3,176 | 3 | 95 | +1.0% |
| South Dakota | $1,328 | $4,566 | 3 | 41 | +0.7% |
| Massachusetts | $1,327 | $6,520 | 37 | 328 | +0.6% |
| Colorado | $1,316 | $4,369 | 45 | 2,185 | -0.3% |
| Wyoming | $1,315 | $6,831 | 2 | 58 | -0.3% |
| Illinois | $1,311 | $4,514 | 103 | 3,369 | -0.6% |
| Nevada | $1,310 | $3,204 | 24 | 1,629 | -0.7% |
| Oregon | $1,299 | $4,623 | 10 | 207 | -1.5% |
| Delaware | $1,297 | $3,022 | 5 | 112 | -1.7% |
| Pennsylvania | $1,289 | $7,327 | 55 | 1,462 | -2.3% |
| Texas | $1,283 | $4,061 | 252 | 8,422 | -2.8% |
| Michigan | $1,270 | $3,422 | 75 | 1,762 | -3.7% |
| Montana | $1,263 | $3,207 | 2 | 165 | -4.3% |
| Arizona | $1,261 | $3,279 | 111 | 4,366 | -4.4% |
| Florida | $1,260 | $3,316 | 296 | 13,788 | -4.5% |
| Georgia | $1,257 | $5,486 | 68 | 1,523 | -4.7% |
| Minnesota | $1,256 | $4,858 | 17 | 321 | -4.8% |
| Nebraska | $1,251 | $3,428 | 12 | 191 | -5.2% |
| West Virginia | $1,238 | $4,115 | 4 | 84 | -6.2% |
| Idaho | $1,236 | $3,879 | 6 | 50 | -6.3% |
| New Mexico | $1,225 | $3,056 | 12 | 412 | -7.1% |
| North Carolina | $1,216 | $3,912 | 67 | 2,517 | -7.8% |
| Wisconsin | $1,215 | $4,968 | 24 | 390 | -7.9% |
| Kentucky | $1,204 | $3,611 | 20 | 407 | -8.7% |
| Utah | $1,194 | $5,252 | 14 | 298 | -9.5% |
| Louisiana | $1,193 | $3,845 | 35 | 1,158 | -9.5% |
| Tennessee | $1,184 | $4,253 | 76 | 2,325 | -10.2% |
| Indiana | $1,176 | $3,200 | 42 | 2,139 | -10.9% |
| South Carolina | $1,173 | $3,427 | 30 | 886 | -11.1% |
| Ohio | $1,172 | $2,801 | 54 | 2,042 | -11.1% |
| Missouri | $1,164 | $3,461 | 27 | 1,010 | -11.8% |
| Alabama | $1,153 | $2,895 | 26 | 1,117 | -12.6% |
| Arkansas | $1,136 | $3,650 | 18 | 1,352 | -13.9% |
| Iowa | $1,133 | $4,034 | 17 | 387 | -14.1% |
| Kansas | $1,096 | $3,220 | 14 | 393 | -16.9% |
| Mississippi | $1,055 | $4,115 | 15 | 257 | -20.0% |
| Washington | $1,048 | $5,926 | 17 | 110 | -20.6% |
| Oklahoma | $975 | $2,837 | 15 | 113 | -26.1% |
| New Hampshire | $769 | $4,290 | 4 | 15 | -41.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber