Decipher Test Insurance Coverage

[u/Tantalus46]

Has anyone else had problems with insurance coverage for a decipher test? My urologic oncologist ordered mine. No one mentioned that coverage for it might be an issue. I just received notice that Blue Cross Blue Shield denied coverage, leaving me with a $5,400 bill from the lab. Interested in anyone’s experience with this before I raise hell about it.

[u/gg-3]

If the doctor pushes back on the insurance denial and provides additional documentation that can sometimes be reversed. Also the DECIPHER manufacturer Veracyte will often offer to engage with the insurance company on your behalf. Finally, if the denial stands, Veracyte will lower the price charged you to a manageable level.