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I received a bill this week from Agendia and it was $4200. I had the test done in April of 2020 and this is the first bill I’ve gotten. Apparently insurance did not cover it despite multiple appeals (that I was never notified about). I read old posts on here that some have gotten the amount owed decreased. Anyone have experience with Agendia and their test, Mammaprint?

December 1, 2022
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A MyBCTeam Member

Be sure to tell me you are a self-pay patient. This can usually cut the cost 50-70% or more

December 9, 2022
A MyBCTeam Member

My bill was only two hundred.

December 2, 2022
A MyBCTeam Member

Wow, that is terrible! Where I work, we do not submit until we get a prior authorization from the insurance company.

December 2, 2022
A MyBCTeam Member

Thanks Teresa. I asked why a prior auth wasn’t done and I got crickets. Mammaprint is like Oncotype DX. It is a test done to assess your risk for recurrence.

December 1, 2022
A MyBCTeam Member

I have not heard of this Mamma Print. But from what I know all orders must go through the doctor to the insurance first. Then the insurance decides if you need it. Then it will or will not get approval. I always call insurance prior to any procedure to make sure it is in network and covered.

December 1, 2022

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