Laser destruction of incompetent vein of arm or leg using imaging guidance
Medicare pricing data for 1,876 providers across 44 states
Prices vary significantly by location — from $212 in South Dakota to $1,148 in New York. 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
Laser destruction of incompetent vein of arm or leg using imaging guidance (HCPCS code 36478) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $930.49, but hospitals typically charge $3,982 — a 4.3x 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 $930.49, your out-of-pocket cost would be approximately $186.10. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $736.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $1,148 | $6,649 | 163 | 2,145 | +23.4% |
| California | $1,083 | $4,182 | 115 | 2,790 | +16.4% |
| Hawaii | $1,082 | $1,800 | 1 | 18 | +16.3% |
| New Jersey | $1,066 | $6,509 | 68 | 551 | +14.6% |
| Connecticut | $1,038 | $5,128 | 19 | 114 | +11.6% |
| Massachusetts | $1,027 | $5,380 | 21 | 321 | +10.4% |
| Washington | $1,026 | $4,823 | 15 | 53 | +10.2% |
| Maryland | $1,024 | $3,844 | 25 | 474 | +10.1% |
| Nevada | $977 | $5,699 | 32 | 370 | +5.0% |
| Wyoming | $976 | $4,993 | 2 | 49 | +4.9% |
| Oregon | $973 | $3,061 | 8 | 58 | +4.5% |
| Maine | $968 | $2,345 | 5 | 134 | +4.0% |
| Florida | $958 | $2,716 | 195 | 5,332 | +3.0% |
| Georgia | $957 | $5,232 | 37 | 468 | +2.9% |
| Iowa | $952 | $3,916 | 5 | 61 | +2.4% |
| Colorado | $952 | $4,249 | 63 | 1,076 | +2.3% |
| Illinois | $928 | $4,137 | 116 | 1,990 | -0.3% |
| Texas | $926 | $3,419 | 130 | 3,143 | -0.4% |
| Utah | $910 | $3,524 | 10 | 51 | -2.2% |
| Arizona | $906 | $2,430 | 40 | 1,937 | -2.6% |
| South Carolina | $901 | $3,741 | 13 | 305 | -3.2% |
| Michigan | $896 | $3,195 | 54 | 427 | -3.7% |
| North Carolina | $892 | $5,165 | 77 | 1,719 | -4.1% |
| New Mexico | $877 | $2,538 | 11 | 431 | -5.7% |
| Virginia | $858 | $3,767 | 50 | 263 | -7.8% |
| Alabama | $855 | $3,516 | 26 | 656 | -8.1% |
| Idaho | $850 | $3,245 | 5 | 18 | -8.7% |
| Pennsylvania | $850 | $3,426 | 42 | 620 | -8.7% |
| Tennessee | $828 | $3,824 | 52 | 762 | -11.0% |
| Ohio | $825 | $4,406 | 66 | 1,340 | -11.4% |
| Missouri | $824 | $4,457 | 53 | 1,406 | -11.5% |
| Mississippi | $823 | $4,225 | 11 | 770 | -11.5% |
| Oklahoma | $805 | $2,812 | 12 | 132 | -13.4% |
| Kentucky | $800 | $2,974 | 36 | 231 | -14.0% |
| Indiana | $787 | $4,885 | 37 | 333 | -15.4% |
| Kansas | $784 | $2,687 | 15 | 174 | -15.7% |
| Louisiana | $779 | $4,220 | 36 | 219 | -16.2% |
| Wisconsin | $730 | $6,206 | 70 | 436 | -21.5% |
| Minnesota | $711 | $4,889 | 30 | 185 | -23.6% |
| Montana | $695 | $3,289 | 7 | 87 | -25.3% |
| Arkansas | $665 | $2,891 | 11 | 250 | -28.5% |
| Nebraska | $608 | $3,380 | 18 | 95 | -34.7% |
| North Dakota | $244 | $1,655 | 13 | 46 | -73.8% |
| South Dakota | $212 | $1,617 | 6 | 70 | -77.2% |
⚠️ 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