Self-Pay Pricing & Payment Plans

At Modal Pain Management, a self-pay new-patient consultation with Dr. Alex Movshis is $250 and a follow-up visit is $150. These are flat, all-inclusive prices — there is no separate facility or paperwork fee. Individual procedures are priced separately and listed on this page; select IV wellness therapies are priced on their own pages.

Yes. Each listed price covers the physician fee, the imaging guidance used (ultrasound or fluoroscopy), and the medication, charged per session as the procedure is typically performed. There is no separate facility fee. Your exact plan is confirmed at your consultation before anything is scheduled.

Yes. HSA and FSA cards are accepted, and both follow the IRS definition of medical care (IRS Publication 502), so what counts is what the service treats. Office visits, spinal and joint injections, nerve blocks, radiofrequency ablation, PRP, and Botox for migraine or TMJ qualify. Vitamin shots, NAD+, and IV infusions qualify only when a physician recommends them to treat a diagnosed condition, so your plan administrator may ask for a letter of medical necessity. Neuromodulator treatment for cosmetic reasons does not qualify, and a limited-purpose FSA covers only dental and vision care. Every price on this page is marked with its HSA/FSA status, and you receive an itemized receipt for your records.

Yes. Modal Pain Management offers "pay over time" plans through Cherry, a healthcare financing platform, including 0%-APR options on shorter terms and low fixed-APR plans for larger amounts. Checking whether you qualify uses a soft credit check, which does not affect your credit score. Apply online in about a minute, estimate a monthly payment with the payment calculator, or call (646) 290-6660. You can also combine a payment plan with your HSA or FSA.

Self-pay prices at Modal Pain Management: a lower-back epidural steroid injection is $1,000 (interlaminar or caudal). A transforaminal lumbar epidural is $1,000 for the first level plus $500 for each additional level treated in the same session. A neck or upper-back epidural (cervical/thoracic) is $1,500. A cortisone shot for a joint or bursa is $700. Radiofrequency ablation (RFA) is $1,500 for the lower back and $2,000 for the neck, each covering up to three spinal levels in one session, $1,000 for the knee (genicular nerve RFA), and $1,500 for the sacroiliac (SI) joint. Facet (medial branch) nerve blocks are $1,000 (lower back) and $1,500 (neck). Every price is flat, all-inclusive, and charged per session.

Self-pay Botox for chronic migraine at Modal Pain Management is $2,000 per session for the FDA-approved 155-unit, 31-injection PREEMPT protocol, all-inclusive — the physician fee, the injections, and the drug. Sessions are every 12 weeks, so a full year is four sessions. Any additional follow-the-pain units are $15 per unit. With commercial insurance, Botox for chronic migraine is usually covered with prior authorization when you have headache on 15 or more days a month, migraine features on at least 8 of them, and two oral preventives tried; what you pay then depends on your deductible and coinsurance, and the manufacturer's savings program can reimburse part of the drug cost for eligible commercially insured patients. We do not participate with Medicare or Medicaid. Whether you meet the criteria takes two minutes to check with our chronic migraine Botox eligibility check, and this guide covers the authorization, the denials, and the timeline.

Three common reasons: your plan has a high deductible you have not met, your plan does not cover the specific procedure, or you prefer the speed and privacy of paying directly. If Modal Pain Management is out-of-network for your plan, we provide an itemized superbill so you can seek out-of-network reimbursement. Compare your options on our insurance and billing page.

Yes. For any self-pay procedure, we provide an itemized superbill with the CPT procedure codes and ICD-10 diagnosis codes your insurer needs. Many PPO plans reimburse a portion of out-of-network costs after your out-of-network deductible is met. You submit the superbill directly to your carrier.