At VCOC, specialized patient care is our top priority.  Each of our patients receive personal, one-on-one consultations with Dr. Kanter himself, offering you clarity and confidence from the start. As a private practice highly specialized in phlebology (vein disorders), we don’t offer an array of unrelated or unnecessary procedures.  Rather than diversify into liposuction, hair removal, Botox, and other matters, VCOC is focused on offering top quality phlebology services for patients that need expert results.

VCOC has a full-time, on-site duplex ultrasound system and was the first vein disorder center in southern California to offer advanced “color-flow” imaging for improved accuracy.  We were also the first to offer ultrasound-guided sclerotherapy since 1991 and the first to offer endovenous laser treatment for large varicose veins using the FDA-approved and patented Biolitec ELVeS® system. VCOC is committed to staying at the forefront of our field and passing that expertise on to our patients.


Consultation Procedure

It’s important to know that your consultation is unique to you and your needs. Each body is its own environment, with complex nuances and complications. Veins that are visible on the surface of the skin often have deeper sources hiding underneath, which can make diagnosis a tricky process. Because every case is different, it’s nearly impossible to provide an accurate cost estimate over the phone. Appearances are often deceiving: what looks simple to you may actually be more complicated to treat, and what looks complicated may actually be a simple fix for the doctor. Therefore, we offer low-cost consultations by appointment. This is not a cursory, momentary glance at your veins, but rather a full examination of your own individual tissue and vascular physiology.

Vein disease is a legitimate medical issue and we treat it as such. Therefore we allow adequate time for your consultation to accurately assess the details of your condition, make a complete diagnosis, and answer any questions you may have before you leave the office. After a careful review of your medical history and concerns, every vein patient receives a painless Doppler screening examination and duplex ultrasound examination, if necessary. Based on the specific findings in your case, Dr. Kanter will then personally:

1) Discuss any recommended diagnostic procedures.

2) Review the pros and cons of all treatment options appropriate for your case, both surgical and non-surgical.

3) Provide you with a written cost estimate. With your permission, a brief report will be sent to your referring primary care doctor as a courtesy.

The fee for an initial consultation depends on the complexity of the case: 30-minute consultations for spider veins are $85, and 60-minute consultations for large varicose veins are $125. The fee for duplex examination is $295.00 if needed; duplex is required for most varicose veins but rarely for spider veins.


Medical Insurance and Medicare

VCOC currently accepts Health Net, Blue Shield, and Blue Cross Blue Shield insurance plans. However, we are not a Medicare provider. For all other insurance plans, our office uses a “fee-for-service” arrangement and does not accept assignment of benefits. Payment is due at the time service is rendered. We accept major credit cards and also offer several financing options. A detailed, properly coded statement of fees is provided for each visit to send to your insurance company for reimbursement. Insurance policies will usually cover treatment performed for legitimate medical reasons, but not for cosmetic improvement. Only our thorough consultation procedure, as outlined above, can document the existence of medical necessity and identify symptoms and findings attributable to vein disease. VCOC does not falsify codes or exaggerate findings in order to help obtain reimbursement. However, when medical necessity does in fact exist, you will be provided with a written consultation summary which documents the need for treatment in your case. This is usually sufficient proof of need for your insurance provider.

Dr. Leary took a lot of time with me and was very detailed. He walked me through what causes the symptoms. He went through the different options to fix to the problem and suggested the best solution for me. He did a great job of managing my expectations. He has ...
I had large, bulbous veins on the front of the my legs where they were very noticeable. I like to wear shorts and I’m very athletic . I run, I go to the gym and the vein was right in front where I would always see it.I liked the idea ...
I am so pleased with how my legs look and feel! Over the past 20 years, I have had various types of treatments in several cities for my varicose veins, and Dr. Leary is the best. Never have I seen such noticeable improvement in such little time. Dr. Leary and ...
I have to tell you again that I’m absolutely thrilled with the work that Dr. Leary has done – I’ve had 4-5 sclerotherapy appointments with him and it’s been terrific. The difference is amazing – I’m definitely ready for summer! When I was in this morning I told him that ...

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