| Procedure | Cost | Insurance? | Recovery |
|---|---|---|---|
| Compression therapy only | $100–$300 | Usually covered | None |
| Sclerotherapy | $500–$1,000 | Sometimes | 1-2 days |
| Endovenous laser (EVLA) | $3,000–$5,000 | Often covered | 1-2 days |
| Radiofrequency ablation (RFA) | $3,000–$5,500 | Often covered | 1-2 days |
| Vein stripping (surgical) | $4,000–$7,000 | Usually covered | 1-2 weeks |
| VenaSeal (adhesive closure) | $3,500–$6,000 | Sometimes | Same day |
Insurance covers varicose vein treatment when it's medically necessary. You need: documented symptoms (pain, swelling, skin changes, ulcers), failed conservative treatment (3-6 months of compression stockings), and a venous ultrasound showing venous insufficiency. The approval process: 1) See your PCP about symptoms, 2) Get a referral to a vein specialist, 3) Venous ultrasound, 4) Wear compression stockings for 3-6 months, 5) Submit pre-authorization with all documentation. With proper documentation, approval rates are 70-80% for symptomatic varicose veins.
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