- Medical Fees - Consultant Pain Medicine

Below are a guide to the current fees. These do not include anaesthetic and hospital fees. Please  us if you have any questions. Initial Consultation: These vary between 30-60 minutes and cost £180-250 .00
 Other Services:
12300 Subsequent consultation £100.00
25020 Intravenous regional sympathetic block - 1 injection £192.0
25120 Dorsal root ganglion block (local anaesthetic or neurolytic) £400.00
A5290 Transforaminal epidural £300.00
63320 Fluoroscopy £120.00
64030 Arthrography £168.00
A7600 Ketamine / Lidocaine infusion £420.00
A5200 Epidural injection (cervical) £300.00
A5220 Epidural injection (Thoracic) £300.00
A5210 Epidural injection (lumbar/caudal) £235.00
A5230 Epidurogram £200.00
A5720 Facet or sacroiliac joint (RF) radio frequency thermocoagulation including rhizolysis (under x-ray control) £475.00
A5730 Facet or sacroiliac joint (RF) radio frequency thermocoagulation including rhizolysis (under x-ray control) £840.00
A5750 Facet joint injection (under x-ray control) - 2 joints £264.00
A5760 Facet joint injection (under x-ray control) - 4 joints £420.00
A5770 Facet joint injection (under x-ray control with sedation/G.A.) - 6 joints £475.00
A7300 Peripheral nerve lesion (radio frequency cryoprobe or phenol) £264.00
A7350 Local anaesthetic blockade of major nerve trunk £200.00
S5210 Injection into subcutaneous tissue/painful trigger point (including local anaesthetic and steroid) £195.00
T7292 Trigger point injection/Enthesis - more than 1 injection £160.00
W9030 Injection(s) into joint(s) under x-ray control £ 200.00
A5790 Sacroiliac joint injections £ 200.00
W9240 Examination/manipulation of joint under anaesthetic +/- injection (as sole procedure) £150.00
X3770 Intramuscular injection with XRC (eg piriformis block) £225.00

Please note that when you undertake any treatment or consultation with us, you are responsible for the fees that result, not your insurance company. Sometimes you may find that your insurance does not cover all of the fee and you may be liable for the shortfall.

Medical Fees – is there a contract between the patient and consultant?Any patient who consults or is treated by a consultant in the private medical sector will be personally responsible for the payment of all their consultant’s fees and a financial contract exists between them. In many instances patients have private medical insurance that will fully reimburse them for their medical fees. However, there are often exclusions within these policies (i.e. specific medical conditions, outpatient allowances or payment by the patients of an initial excess amount). Sometimes there may be shortfalls in the insurance reimbursement that the patient receives for the consultant’s fees. In the event that there is a shortfall it is borne by the patient who is personally legally liable to the consultant for his/her fees. 
Who pays the consultant’s fees?Your consultant will submit their fees to you for his services. These fees should be laid out so as to illustrate clearly the services rendered and appropriate codes for any procedures. Normally an operative fee will include routine post-operative care in the hospital. Separate fees are charged for follow-up consultations after surgery. Some (but not all) insurers refuse to pay for an initial follow-up consultation if this takes place within a certain time after surgery or discharge from hospital. You should note that the insurance companies do not pay consultant fees; they reimburse patients for consultant fees. Insurers give benefits; consultants charge fees. These benefits or levels of reimbursements vary between different companies for the same procedure, in many cases insurance companies have not increased member benefits for consultant fees for over ten years despite increasing their client’s insurance premium annually. If there are shortfalls then the patient is responsible for this amount, which should be paid directly to the consultant within a reasonable time. 
*If you are insured with BUPA, the fees agreed with BUPA by Dr Kurian who  is a  BUPA Consultant Partner shall apply.