I have been on and off of opiates for 25 plus years now. I had a relapse in 2016 after 8 years sobriety and an additional relapse in 2019. I am currently on methadone maintenance for 15  months after switching from suboxone maintenance for 12 months. I wasn't opiate dependent when I started M.A.T. but it was recommended because of medical conditions that required me to go through another heart surgery - a fourth tricuspid valve replacement initially from endocarditis from IV opiate abuse in 2002, and then a kidney surgery for kidney cancer. M.A.T. was successful in that I was able to go through several surgeries without relapse and I am now sober again for 27 months. The issue is the M.A.T. medications cause undesirable side effects and I would prefer sobriety without medications such as Methadone. I did 8 years previously without any meds and would like to again. The problem is getting off of the maintenance Methadone is difficult and something I feel I could only do with a method such as ANR. Still, I worry about the Post Acute Withdrawal that may be experienced after the procedure, as well as some of the reactions and effects I previously had while taking Naltrexone and Vivitrol. First and most importantly is I would like to know the average cost for the procedure as that will determine if I can explore this option further. I have very good insurance but I doubt it covers ANR which is a problem in itself. If you could email me the requested info, I could look it over and call to discuss if I can pursue this option further. Thank you!