What factors affect CPT 36465 fee schedules?

Factors affecting fee schedules for CPT 36465 include Medicare & Medicaid rates (government-set), Private Insurance rates (negotiated), Geographic Location (costs higher in urban areas), and Provider Type (hospital vs. private practice).

How can PayerPrice help with CPT 36465 rates?

PayerPrice allows you to benchmark your current CPT 36465 rates against market averages, prospect for new business using detailed fee schedules, and integrate real-time payer data into your workflows to keep fee schedules up-to-date. It provides access to exact negotiated rates published by insurers under federal transparency rules.

Where can I view Medicare rates for CPT 36465?

You can view Medicare rates for CPT 36465 on the PayerPrice website via a dedicated link, such as 'View Medicare rates for 36465'.

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare professionals to describe medical, surgical, and diagnostic services provided to patients. They are essential for accurate medical billing and for communicating services between providers, patients, and insurance companies.

How can I find the cost of a medical procedure using a CPT code and my specific location?

To find the cost of a medical procedure using a CPT code and your specific location, you should use a specialized tool. Payerprice offers a fee schedule lookup tool that allows users to search with a CPT code and specific location to get pricing information relevant to their specific situation.

Payerprice is a service that provides tools for users, including a fee schedule lookup tool. This tool allows individuals to search for medical procedure costs based on CPT codes and specific geographical locations, offering transparent pricing information.

CMS stands for the Centers for Medicare & Medicaid Services. It is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works with states to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance marketplaces. While CMS provides a lot of information on healthcare policy and reimbursement for government programs, its fee schedules are primarily for Medicare beneficiaries and may not reflect commercial insurance rates or individual out-of-pocket costs accurately for all situations.

Why should I use Payerprice instead of CMS for looking up specific procedure costs based on CPT codes and location?

You should use Payerprice instead of CMS when looking for answers based on your specific situation, particularly for finding out-of-pocket costs or commercial insurance rates for medical procedures. While CMS provides valuable information, its fee schedules are primarily relevant for Medicare and Medicaid beneficiaries. Payerprice, with its fee schedule lookup tool, is designed to help users search with CPT codes and specific locations, offering more tailored and potentially broader pricing information that might be more relevant for non-Medicare/Medicaid situations or to understand varied commercial rates.

CPT 36465 Fee Schedule

Q: What is CPT 36465?

CPT code 36465 describes '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'. It is used by healthcare providers to document and receive reimbursement for this high-level medical procedure.

Last Verified: July 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Injection Of Non-Compounded Foam Sclerosant With Ultrasound, 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 Sapheno

Key Fact	Detail
Service Type	Sclerotherapy of Telangiectasia and Incompetent Veins Venous Procedures
Common Place of Service	11 - Office 22 - On Campus Outpatient Hospital
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 36465

National average reimbursement for CPT 36465 by major payers:

$1,599.24

$2,087.48

$2,047.95

$339.85

Preview provider-level rates for...

For billing codeCPT 36465

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	36465	$1782.56	1164580882 - DEAN VELIS	261446665	IL	Internal Medicine Physician (207R00000X)
United	36465	$2410.41	1760416713 - NOURI AL-KHALED	261283189	IL	Cardiovascular Disease Physician (207RC0000X)
United	36465	$1143.00	1063019586 - GREENWAY SURGICAL SUITES, LLC	853346468 - (MN) GREENWAY SURGICAL SUITES LLC	MN	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36465	$2410.20	1093905184 - HIRAL FONTANILLA	232571699 - TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP F-K-A LANGHORNE PHYSICIAN SE	NJ	Radiation Oncology Physician (2085R0001X)
United	36465	$2214.68	1700134087 - NADIA EL HANGOUCHE	263070266	IL	Cardiovascular Disease Physician (207RC0000X)
United	36465	$6434.89	1376653675 - GREG ZAHARCHUCK	260089066	CA	Diagnostic Radiology Physician (2085R0202X)
United	36465	$528.00	1245340603 - MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER	30408358 - (TN) MOUNTAIN EMPIRE CATARACT EYE SURGERY CENTER	TN	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36465	$1979.12	1558366138 - TERRI ZACCO	800164702	NC	Diagnostic Radiology Physician (2085R0202X)
United	36465	$1792.09	1700830957 - ELIGIJUS P. LELIS M.D. & ASSOCIATES, S.C., SPECTRUM EYE INSTITUTE	363962766	IL	Multi-Specialty Group (193200000X)
United	36465	$2325.36	1659471175 - SANJEEV GUPTA	362169147	IL	Internal Medicine Physician (207R00000X)
United	36465	$2681.71	1487745527 - JEANNE FARLEY-LI	363097297	IL	Internal Medicine Physician (207R00000X)
United	36465	$2015.06	1558658773 - WALTER BIGIT MILLA	752743883	IL	Internal Medicine Physician (207R00000X)
United	36465	$1541.10	1487630513 - MOHAMMAD SIDDIQUI	462669679	IL	Internal Medicine Physician (207R00000X)
United	36465	$1502.10	1225356934 - YAIR CHAYA	113237483 - BROOKDALE FAMILY CARE CENTERS INC	MN	Diagnostic Radiology Physician (2085R0202X)
United	36465	$4057.62	1659987683 - SYED AHMAD	43466314	IL	Internal Medicine Physician (207R00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 36465 vs. Other Venous Procedures Codes

The CPT 36465 code is part of the Sclerotherapy of Telangiectasia and Incompetent Veins services used for Venous Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 36465 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
36465-CPT	High	Injection Of Non-Compounded Foam Sclerosant With Ultrasound, 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 Sapheno
36466-CPT	High	Injection Of Non-Compounded Foam Sclerosant With Ultrasound, Injection Of Non-Compounded Foam Sclerosant With Ultrasound Compression Maneuvers To Guide Dispersion Of The Injectate Inclusive Of All Imaging Guidance And Monitoring; Multiple Incompetent Truncal Veins (Eg Great Saphenous Vein Accessory Saphenous Vein
36468-CPT	Moderate	Varicose Vein Treatment, Procedure To Collapse And Scar One Or More Spider Or Varicose Veins Usually Found In The Legs Or Ankles. There Are Several Different Procedures That May Be Used.
36473-CPT	High	Endovenous Mchnchem 1st Vein, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Mechanochemical First Vein Treated

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 36465 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 36465 Fee Schedule

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Here's what you can do with PayerPrice

Renegotiate your managed care contracts

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Integrate real-time payer data into your workflows

Let's review your payer contracts side-by-side with the market.

Frequently Asked Questions

What is a CPT code?

How can I find the cost of a medical procedure using a CPT code and my specific location?

What is Payerprice?

What is CMS?

Why should I use Payerprice instead of CMS for looking up specific procedure costs based on CPT codes and location?