Cost Confusion, Result Ambiguity, and the Clear Role of MOCA in Varicose Veins Treatment

In the world of varicose veins treatment, confusion is the constant companion of every patient. Nowhere is this more evident than in the case of Mechanical Chemical Ablation (MOCA)—a technique that sits squarely in the middle of a baffling spectrum of treatment costs and outcomes. From as low as ₹5,000 to as high as ₹2,50,000, the cost of varicose vein treatment in India stretches wide, and so do the results, ranging from poorly treated recurrences to perfectly closed veins with restored leg health. It’s no surprise, then, that patients remain clouded in uncertainty. However, for trained interventional radiologists at structured centers like IR Facilities, the picture is anything but ambiguous.

The Cost Spectrum: From Drops to Devices

Let’s break it down:

₹5,000: The starting point for a basic ultrasound-guided glue drop (endocrine glue) used to seal a localized perforator or leak site. This is especially useful in chronic ulcer cases or where residual incompetent perforators persist. Just 1 ml of glue = 16 drops, enough to permanently occlude the culprit vein segment.

₹15,000 - ₹25,000: Basic sclerotherapy or outdated surgical stripping, which unfortunately come with high recurrence rates and low efficacy.

₹60,000 - ₹1,00,000: The real utility zone for MOCA when used properly in a clean, organized endovascular setup. This includes single-catheter treatment of an entire refluxing vein in less than 10 seconds, repeatable with the same catheter if necessary.

₹1,00,000 - ₹2,50,000: This high-end zone often includes multiple device usage, laser or RFA combinations, adjuncts like compression therapy kits, and multiple sittings or revisions in corporate hospital setups. But often, the cost does not correlate linearly with success.

MOCA: The Clear Middle Ground in a Cloudy Landscape

The genius of MOCA (mechanochemical ablation) lies in its simplicity and reproducibility:

No need to burn every segment of the vein.

No need for thermal protection or tumescent anesthesia.

The catheter opens, rotates, and gets withdrawn gently, ablating the vein with simultaneous sclerosant delivery.

The procedure is done without admission, often in a daycare setting, and patients can walk immediately.

When done by a perfect team in an organized interventional radiology unit, MOCA delivers perfection to near-perfection, with little post-op pain, minimal recurrence, and instant recovery.

But what about Venous Heal or Venaseal? Once the glue is deployed through these systems, the catheter is spent. Redeployment isn’t an option. Also, you get a very limited volume in each kit, restricting its flexibility in treating complex disease patterns. MOCA, by contrast, retains control, can be repeated, and is used adaptively in real-time.

The Real Solution: MOCA + Glue in Higher Centers

The perfect storm of competence and tools is what IR Facilities has created. For example:

Glue + MOCA becomes a lethal combo in complex or recurrent cases.

A single drop of glue guided under ultrasound to a perforator can save the leg from chronic ulcers.

And all this at just ₹5,000 for glue, combined with MOCA costing ₹60,000–₹80,000 for a complete treatment.

So when a patient asks, “Why does one clinic say ₹20,000, another says ₹2,00,000?”—the answer lies not in the price, but in the method, material, and manpower.

Ambiguity: A Layman's Curse, An Expert’s Clarity

To the untrained eye, the landscape of varicose vein treatment looks murky. The same chemical—polidocanol or sclerosant—can be used in a ₹5,000 perforator treatment and a ₹2,50,000 multi-sitting ablation plan. The outcome depends on how, where, and by whom it is delivered.

At IR Facilities and similar advanced interventional radiology departments:

The procedure is done under real-time ultrasound guidance.

Every treatment is customized, not standardized.

The goal is result-first, not billing-first.

Hence, what appears to be chaos to patients is a well-defined system in the hands of experts.

Final Word: Confidence Comes with Competence

Varicose vein treatment is not about choosing the cheapest or the costliest option. It’s about understanding what works for your case and who can deliver that best. MOCA, with its unique balance of control, repeatability, and affordability, bridges the cost-result gap better than any other technique.

IR Facilities, with its structured protocols, expert hands, and adjunct tools like endocrine glue, eliminates the ambiguity of both cost and results, giving patients clarity, confidence, and long-term relief.