Insurance & Billing
Modal Pain Management works with most commercial PPO plans for pain management consultations and procedures. We check your benefits and go over what your plan covers and any expected cost by phone before your visit, so there are no surprise bills.
What Modal Pain Management Accepts
Modal Pain Management is a private interventional pain practice located at 369 Lexington Avenue, Floor 25, in Midtown East (NYC 10017). The practice works with most commercial PPO plans for in-office consultations with Dr. Alex Movshis and for interventional procedures performed in our procedure suite — including epidural steroid injections, lumbar and cervical medial branch blocks, radiofrequency ablation, ultrasound-guided peripheral joint and nerve injections, trigger point injections, and BOTOX for chronic migraine.
Commercial Plans We Routinely Accept
- Aetna
- Anthem Blue Cross Blue Shield
- Blue Cross Blue Shield (BCBS)
- Cigna
- Empire Blue Cross Blue Shield
- Empire Plan (NYS)
- Oscar Health
- Oxford
- UMR (UnitedHealthcare subsidiary)
- UnitedHealthcare
- Most other major commercial PPO plans
Your benefits, deductible balance, and prior-authorization requirements are checked with your carrier directly before your first visit. The list above names carriers Modal Pain Management routinely works with. Plans and products differ within each carrier, so verification confirms the specifics for your individual plan.
Coverage for any specific service depends on your individual plan's benefits, deductible status, and any prior-authorization requirements. Our billing team verifies these details with your carrier directly and calls you to explain your coverage before any scheduled procedure.
Plans Not Accepted
Modal Pain Management does not currently accept Medicare, Medicaid, HMO plans, or workers' compensation. Patients with Medicare or Medicaid coverage should consult their plan's online directory or call their member services line for pain management providers in the New York City area who accept their plan.
How Insurance Verification Works
Verification is a no-cost, no-obligation process designed to give you a clear picture of what your visit and any recommended procedures will cost — before you commit to scheduling.
- Submit your insurance information. Use the online verification form or call (646) 290-6660. We collect your member ID, group number, plan name, and date of birth.
- Our billing team contacts your carrier directly. We confirm your plan's benefits for visits and procedures, your remaining annual deductible, your coinsurance percentage, your copay obligation, and any plan-specific limits on pain management services.
- You'll receive a call explaining your coverage. Our team walks you through the projected out-of-pocket cost for the consultation and for any commonly recommended procedures (epidural steroid injection, nerve block, RFA, trigger point injection). Most verifications complete within 1–2 business days.
- Schedule. Same-week appointments are usually available. Verification runs in parallel and does not delay scheduling.
No Surprise Bills
Modal Pain Management is not part of insurance networks. We check your benefits and go over what your plan covers and any expected cost by phone before your visit, so there are no surprise bills.
Procedure Prior Authorization
Many interventional pain procedures require prior authorization from commercial insurance carriers, and each plan sets its own criteria. The procedures that most often need it include:
- Epidural steroid injections (cervical, thoracic, lumbar) — fluoroscopy-guided
- Medial branch blocks (lumbar and cervical)
- Radiofrequency ablation (RFA) of the medial branch nerves
- Sacroiliac joint injections
- Genicular nerve blocks and genicular RFA
- BOTOX for chronic migraine (PREEMPT protocol)
After your consultation, Dr. Movshis prepares the supporting clinical documentation — diagnosis, conservative care history, imaging review, and treatment rationale — and our billing team submits the prior-authorization request to your carrier. Most authorizations are returned within 7–14 business days. We track each request and update you when approval is received so the procedure can be scheduled.
Payment Options
Modal Pain Management accepts:
- Cash and all major credit cards
- HSA (Health Savings Account) and FSA (Flexible Spending Account) cards
- Insurance for covered services
- Self-pay with transparent, all-inclusive pricing and pay-over-time plans
Patient responsibility (copay, coinsurance, or any portion of the deductible owed) is collected at the time of service unless alternative arrangements have been made in advance.
Self-Pay Pricing
Modal Pain Management publishes transparent, all-inclusive self-pay pricing and pay-over-time plans for patients without insurance, those whose plans don't cover a procedure, or those who prefer to pay directly to avoid deductibles. PRP is usually self-pay because most insurers consider it unproven. See the full price list — consultations, injections, RFA, PRP, Botox, and IV therapy — or call (646) 290-6660.
Referrals
The PPO plans we accept do not require a referral to see Dr. Movshis — you can book directly. If your specific plan has any requirement, our verification team confirms it during the verification step so there are no surprises.
Insurance & Billing FAQ
Direct answers to the most common insurance and billing questions from new patients.
Does Modal Pain Management accept insurance?
Yes. Modal Pain Management works with most commercial PPO plans, including Aetna, Anthem Blue Cross Blue Shield, Cigna, Empire Blue Cross Blue Shield, the Empire Plan, Oscar, Oxford, UMR and UnitedHealthcare, for consultations and procedures performed at our Midtown Manhattan office (369 Lexington Avenue, Floor 25, New York, NY 10017). We check your benefits and go over what your plan covers and any expected cost by phone before your visit, so there are no surprise bills. The check is free and carries no obligation. The practice does not accept Medicare, Medicaid, HMO plans, or workers' compensation.
Does Modal Pain Management accept Medicare or Medicaid?
No. Modal Pain Management does not currently accept Medicare, Medicaid, HMO plans, or workers' compensation. Patients with Medicare or Medicaid coverage should check their plan for pain management providers who accept it.
What insurance does a pain management doctor in NYC accept?
Coverage varies by physician and practice. At Modal Pain Management, Dr. Alex Movshis accepts most major commercial PPO plans, including Aetna, Anthem Blue Cross Blue Shield, Blue Cross Blue Shield, Cigna, Empire Blue Cross Blue Shield, Empire Plan (NYS), Oscar Health, Oxford, UMR, UnitedHealthcare, and most other major commercial PPO plans. Coverage for specific procedures — epidural steroid injections, nerve blocks, radiofrequency ablation, trigger point injections, BOTOX for chronic migraine — depends on your individual plan's benefits, deductible, and any prior-authorization requirements. Our team verifies these details for you in advance. Modal Pain Management does not accept Medicare, Medicaid, HMO plans, or workers' compensation.
Which Midtown pain doctor takes Aetna or Cigna for nerve blocks?
Dr. Alex Movshis at Modal Pain Management performs image-guided nerve blocks in Midtown Manhattan (369 Lexington Avenue, Floor 25, NYC 10017, a short walk from Grand Central) and works with Aetna and Cigna along with other major commercial PPO plans. Nerve blocks such as occipital, medial branch, intercostal, ilioinguinal and lateral femoral cutaneous blocks are often covered when the records document the diagnosis and the treatment already tried, but the rules differ by plan and some blocks need prior authorization. We verify your Aetna or Cigna benefits before the visit at no charge. Modal Pain Management does not accept Medicare, Medicaid, HMO plans, or workers' compensation.
How does insurance verification work at Modal Pain Management?
Submit your insurance information through our verification form or by phone at (646) 290-6660. Our billing team contacts your carrier to confirm: (1) your plan's benefits for the visit and any likely procedures, (2) your deductible status and remaining balance, (3) coinsurance and copay obligations, and (4) any prior-authorization requirements for the specific procedures discussed. We call you to go over what your plan covers and any expected cost before your visit, so there are no surprise bills.
Will I get a surprise bill?
No. We check your benefits and go over what your plan covers and any expected cost by phone before your visit, so there are no surprise bills. If a procedure is recommended at the consultation, the same check is done for that procedure before it is scheduled.
Do interventional pain procedures need prior authorization?
Many do. Commercial carriers commonly require prior authorization for epidural steroid injections, lumbar and cervical medial branch blocks, radiofrequency ablation, sacroiliac joint injections, and BOTOX for chronic migraine, and each plan sets its own criteria. Modal Pain Management's billing team submits these requests with the supporting clinical documentation Dr. Movshis prepares after your consultation. Most authorizations are returned within 7–14 business days.
How much does a pain management consultation cost without insurance?
Modal Pain Management publishes transparent, all-inclusive self-pay pricing. A new-patient consultation is $250 and a follow-up is $150. Individual procedures (injections, RFA, PRP, Botox, IV therapy) are listed with flat, all-inclusive prices on the self-pay pricing page. PRP is usually self-pay because most insurers consider it unproven. 0%-interest payment plans and HSA/FSA are accepted. Call (646) 290-6660 with any questions.
What forms of payment does Modal Pain Management accept?
Modal Pain Management accepts cash, all major credit cards, HSA/FSA cards, and insurance for covered services. Patient responsibility (copay, coinsurance, or remaining deductible) is collected at the time of service unless other arrangements have been made in advance.
Do I need a referral from my primary care doctor to see Dr. Movshis?
Most PPO plans do not require a referral, and the plans we accept let you book directly with Dr. Movshis. If your specific plan has any referral requirement, our verification team confirms it before your first visit so there are no surprises.
How long does insurance verification take?
Most insurance verifications are completed within 1–2 business days. Same-week appointments are usually available, and verification does not delay scheduling. If your plan requires prior authorization for a specific procedure, that step happens after your consultation and adds 7–14 business days before the procedure can be performed.
Ready to Verify Your Benefits?
Send your insurance details through our secure verification form. Our billing team will contact your carrier and call you to explain your coverage within 1–2 business days — at no charge and no obligation.
Related Information
- About Dr. Alex Movshis, MD — board certifications, fellowship training, and verifiable credentials.
- Dr. Movshis's Credentials & Verification — board certification IDs, NPI, training program details.
- Treatments & Procedures — the full list of interventional pain procedures performed at the practice.
- Non-Opioid Pain Management — how the practice treats pain without prescribing opioids.
- Contact & Office Information — location, hours, parking, and accessibility.
- Book an Appointment — same-week availability for new patients.