@wheelerma That's the problem with ketamine infusions - they aren't covered by insurance so there isn't a doctor involved unless the clinic hires one and it is expensive. The clinics aren't regulated so there are a wide variety of approaches, some of which don't work well. The clinic I researched in Rochester was started by a man that went through ketamine treatments years ago and wanted to offer it where I live. It's a very small operation but it does great work. I don't know about ketamine for chronic pain being insured or not. There is a new version of ketamine that is a nasal spray but it only uses one of the ketamine molecules, not both so it isn't always as effective. I don't know if that is usable for chronic pain. Sorry, that is a lot of "I don't knows." My experience is from depression treatments.