The fee for the consultation is currently $95.00 and is payable at the time of your examination.

The noninvasive tests performed during you initial consultation, will be billed to your insurance carrier. However, you will be responsible for your deductible and coinsurance. No testing is needed if you have only spider veins. Please bring your insurance card and an original claim form with you to the first consultation.

If you have spider veins, the treatment will be done in multiple sessions, 7-14 days apart. Each session lasts up to 30 minutes. The total number of sessions will be quoted to you during your consultation, however, the average number of sessions needed in our experience, is between six and eight, regardless of the number of legs involved. The fee for a session is currently 300 dollars and is payable at the time of each session. At the end of each session you will receive a detailed super bill ready to be sent to your carrier. Please also note the following:

1. This office does not falsify the procedural or the diagnostic codes; and

2. Most insurance carriers refuse reimbursement as they consider the treatment of spider veins to be cosmetic.

If you have varicose veins (the large or "ropey" veins), each leg will be treated in one single session by the minimally invasive ambulatory phlebectomy done in our office under local anesthesia. The exact fee will be quoted to you during the consultation. Currently the fee is between 1200 - 2,500 dollars a leg depending on the severity of your condition. As all these procedures are done in an office setting, there is no surgeon's assistant fee, no anesthesia fee, no hospitalization fee, and since there is no need for convalescence, you will not lose any days from work. The cost efficiency of the procedure(s) is obvious if one compares it with the fees for the in-hospital stripping that could reach a whopping total of $14-15,000! Many times our fees represent less than the 20% co-payment you would be required to pay if operated in the old fashion way and in a hospital setting

The reimbursement of varicose veins is fair to good. We will provide you at the time of your consultation with all the ICD-9CM (diagnostic) and CPT (procedural) codes and fees so that you carrier will be able quote the level of reimbursement. Check with your carrier; you may need preauthorization, a second opinion or even a letter of necessity.

If you have unwanted hand veins, a cosmetic condition, no insurance carrier will reimburse the expenses. The fees currently are 1,200 - 2,000 dollars a hand.

Please note that we are not a provider for any HMO, PPO or Medicare. However we would like to bring to your attention that the cost efficiency of this type of frontline varicose vein surgery performed in an office setting and under local anesthesia should be obvious to all. We have completely eliminated operating room (OR) or set-up, recovery room and general anesthesia fees! An EOB ( explanation of benefits) from a neighborhood Regional Medical Center dated from July 1995(!) which is in our hands, shows that only the hospital charges (operating room and recovery room fees) for a unilateral stripping surgery were years ago $10488.00!

When, however, calculating the total cost of the surgery one has to add to these hospital charges the fees for the anesthetist and surgeon. The total expenses could be close to 13-14 thousand dollars. Our total fees of only between $1200-2500 per leg thus represent only a fraction of that hospital bill.

We have no separate/additional anesthesia, operating or recovery room fees. Moreover, we have completely eliminated the need for convalescence or down time. All our patients are able to immediately return to their normal daily activities and thus will not lose days of work and income. This is contrary to the still widely performed traditional stripping which could require 10-14 days of down time and consecutively possible