Insurance

Pricing Structure

$360 per hour is the maximum patient will pay for most common services, for example, if they have a half-hour session they are paying $180. We also provide a full-length visit discount for sessions longer than 45 minutes. All supplies (including trigger point therapy balls, exercise bands, k-tape, cold spray, etc.) are typically provided free of charge. Injections are also included as part of the pricing structure, except for the cost of certain kits. The clinic provides a sliding scale discount to patients who feel comfortable sharing their household income and size.

For new patients, we offer free phone consultations for up to 15 minutes. After that, our fees are a flat $320 per hour. Follow-up visits are either 30 minutes ($180) or 60 minutes ($320), depending on the severity of the remaining symptoms. Because our overhead is so low, we only charge about 50% of other insurance-based doctors' fees. The clinic does provide discounts based on income and household size, as well as completely free (pro bono) care to those who need it. Remember to call your insurance company to see how much they might reimburse you as well.

Here are several questions to answer before you decide to book an appointment:

  • How much is left in my deductible?

  • Do I have a separate out-of-network deductible?

  • Can out-of-network costs be applied towards my in-network deductible (combined deductible)?

  • When does my insurance year end?

  • What is my copay and coinsurance for PT and doctors visits?

  • Can other clinics tell me the average number of visits, chance of significant symptom improvement, and costs to expect?

  • How much have I spent up to this point to solve this problem, and how much do I expect to spend?

Insurance

Dr. Razvi is an out-of-network provider, meaning you pay with cash, credit, debit, or check at the end of the visit, and then you can submit your claim to your insurance company if you wish. We provide an invoice and receipt, including appropriate ICD-10 codes, in order to facilitate the claims process. Be sure to call the phone number on the back of your insurance card, or log in to their portal, to see if you have a separate out-of-network deductible, specialist co-pay, and co-insurance. See FAQ regarding what to tell them. We do take Medicare patients, but unfortunately, those patients will be unable to submit for any reimbursement because federal law prohibits any out-of-network claims.

95% of our patients have health insurance, and they choose to seek care with us because their first priority is getting back to the activities they enjoy without pain. At New River Osteopathy, you can be seen sooner, more often, and for longer visits, resulting in more efficient progress towards measurable outcomes that take less time and are often cheaper than in-network care. Don't forget that you can still submit your claims as well. 


At New River Osteopathy, you will have an office visit as well as one or more procedures at every session. The E&M (evaluation and management) code for initial visits is usually 99204 or 99205, and follow-up visits are either 99214 or 99215. The CPT (Current Procedural Terminology, copyright American Medical Association) codes for procedures that are commonly used at New River Osteopathy are:

  • 98925-98929 osteopathic manipulative treatment

  • 20552-20553 trigger point injections

  • 20604/20606/20611 ultrasound-guided joint injection

  • 76881-76882 diagnostic ultrasound of an extremity

  • 76942 ultrasound guidance for needle placement

Please be aware that most insurance companies will not reimburse for prolotherapy despite Level 1 Evidence supporting its use in knee arthritis.

The simplest way to submit a claim is to use our partnerReimbursify. Just enter a few pieces of information, upload the invoice and receipt that we send after each visit, and submit -- all within 2 minutes for free!

We partnered with Reimbursify to be able to check your out-of-network benefits for free! Just give us a call at this number: (540) 930-0539 or you can email us at info@newriverosteopathy.

Additionally, Reimbursify provides the FileFast option for faster claim submission! Use FileFAST by Reimbursify to submit a reimbursement claim (for private health insurance claims) for your out-of-network medical office visits.