How is the cost of sclerotherapy broken down on paper?

Thank you for your question in regards to sclerotherapy/spider vein treatment. Typically spider veins are considered a cosmetic treatment and insurance companies are not likely to cover the cost of them. A break down of sclerotherapy would be difficult to give specially, since typically multiple veins are treated in one session. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Sclerotherapy entails professional and medicine fees. I would write to your insurance's medical director to discuss your concerns. Best, Dr. KaramanoukianLos Angeles

Unfortunately, this is a Canadian issue which is of no concern in the United States. OHIP is not good insurance and will not likley pay for this.$300 is very low price for cosmetic sclerotherapy. 

I agree with Dr. Fox - we don't break down the cost of sclerotherapy by area or cost of the sclerosant. We charge for the time spent. It is uncommon for an insurance company to ask for this information, although I suppose if we were asked we could create a break down that might satisfy them. It seems frankly as if your insurance company is not well informed about common billing practices with sclerotherapy.

Insurance carriers rarely will pay for sclerotherapy unless it involves ultrasound and is being done to treat larger refluxing veins.  The smaller spider veins are considered cosmetic in nature and require extensive time and multiple supplies aside from the cost of medicine along with injection aids.  This is all generally factored into the global fee which is a cash rate.  It is not broken down into each item.  Contact your insurance company representative to clear up the confusion. 

To be honest in 20 years we have never broken down the bill as you are stating.  We usually do the sclerotherapy and include the medication into the cost of the procedure. 

If I do a closure procedure (EVLT) then we request sclerotherapy from the insurance companies as part of the entire vein care.  Sclerotherapy by itself, however, in my practice is a cash procedure since it is purely cosmetic. We do not bill medicine fees.