CPT 36479
Laser destruction of incompetent veins of arm or leg using imaging guidance, subsequent
Asking price, not received
The fee schedule figure
Balance is patient coinsurance
Providers submitted an average of $1064.73 for this code and Medicare allowed $285.92 — 3.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $227.06 (79%); the rest is the patient’s coinsurance and deductible.
- Services
- 2,647
- Beneficiaries
- 1,504
- Providers billing it
- 42
- Total allowed
- $756,830
Medicare Part B, 2024
Services × allowed amount
What Medicare pays for CPT 36479
Across 2,647 services billed by 42 providers to 1,504 beneficiaries, Medicare allowed an average of $285.92 per service. That is 1.8 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.
Who bills 36479
| Specialty | Services | Beneficiaries | Avg allowed | Providers |
|---|---|---|---|---|
| General Surgery | 790 | 489 | $275.85 | 9 |
| Anesthesiology | 497 | 225 | $255.18 | 3 |
| Vascular Surgery | 462 | 229 | $316.36 | 8 |
| Family Practice | 181 | 111 | $294.91 | 3 |
| Cardiology | 168 | 73 | $294.11 | 3 |
| Diagnostic Radiology | 116 | 69 | $308.26 | 3 |
| Interventional Radiology | 100 | 66 | $280.91 | 2 |
| Thoracic Surgery | 84 | 58 | $280.54 | 2 |
| General Practice | 81 | 56 | $336.35 | 2 |
| Cardiac Surgery | 46 | 38 | $274.12 | 2 |
| Interventional Cardiology | 40 | 26 | $312.26 | 1 |
| Internal Medicine | 35 | 27 | $301.94 | 2 |
| Obstetrics & Gynecology | 26 | 19 | $258.14 | 1 |
| Podiatry | 21 | 18 | $289.84 | 1 |
36479 reimbursement by state
Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.
| State | Services | Allowed | Standardized pmt | Providers |
|---|---|---|---|---|
| Texas | 524 | $281.03 | $234.41 | 9 |
| Florida | 369 | $290.69 | $234.04 | 7 |
| Mississippi | 344 | $250.49 | $233.91 | 2 |
| Arizona | 328 | $272.32 | $233.56 | 3 |
| Pennsylvania | 294 | $275.16 | $234.13 | 1 |
| New York | 192 | $351.06 | $233.70 | 2 |
| Illinois | 149 | $311.70 | $233.51 | 5 |
| Colorado | 93 | $288.56 | $233.95 | 3 |
| North Carolina | 79 | $273.30 | $233.68 | 1 |
| Minnesota | 73 | $300.60 | $233.47 | 1 |
| New Jersey | 47 | $351.32 | $234.20 | 1 |
| Missouri | 43 | $258.58 | $231.22 | 2 |
| California | 40 | $331.82 | $235.34 | 2 |
| Maryland | 34 | $315.66 | $233.68 | 1 |
| Arkansas | 26 | $258.14 | $233.63 | 1 |
| Ohio | 12 | $278.96 | $233.72 | 1 |
Related codes
- 36415Insertion of needle into vein for collection of blood sample$8.49
- 36465Injection of chemical agent into single incompetent vein of leg$1256.40
- 36410Insertion of needle into vein (3 years or older)$16.89
- 36471Injection of chemical agent into multiple incompetent veins of leg$187.64
- 36475Destruction of first incompetent vein of arm or leg$1015.19
- 36482Chemical destruction of first incompetent vein of arm or leg$1603.82
- 36478Laser destruction of incompetent vein of arm or leg$907.22
- 36466Injection of chemical agent into multiple incompetent veins of same le$1330.00
- 36470Injection of chemical agent into single incompetent vein$103.15
- 36430Transfusion of blood or blood products$42.77
- 36476Destruction of subsequent incompetent veins of arm or leg$268.55
Billing this code is not the same as earning it
An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.
What doctors are paid →·Look up a clinician →·All procedure codes →
Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.
How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.