← Return to Bone turnover markers (CTX and P1NP): do you have a baseline?

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@babbsjoy

@mayblin ,
Mine were done in the last couple of months, and so far I have not received a bill for them (but they were ordered by my bone health doc). My doctor did warn, on a cover sheet provided with the orders, that insurance may not cover all tests she ordered. We have commercial insurance through my husband’s employer. May be able to call insurance company and let them know your doctor wants you to have tests, and you are checking to see what your copay would be?

I am starting to see that having a doc who properly presents necessity seems to make all the difference. I had a rheumatologist (I was referred to by my PCP), who told me no way would I be approved for Tymlos without first trying fosamax, and that bone markers are unnecessary . He said this as he typed into his laptop a script for fosomax. Well, the bone health doc I went with substantiated the need for an anabolic in my case (very poor dexa in spine, low CTX, but also inadequate P1NP, problems with acid reflux already, etc), and I have been approved for Tymlos as first osteo med! I hope you are able to get what you need without crazy expense! This is all such a multi-faceted situation to navigate!

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Replies to "@mayblin , Mine were done in the last couple of months, and so far I have..."

Thank you very much for your input @babbsjoy! very happy for you getting tymlos approved so that you get a head start to build some quality new bones.

My insurance pays for bone markers although previously the labs were ordered by my endo. I'm at a juncture now when I'd like to be tested more often. My pcp had no problem ordering the (extra) labs for me but she's not sure if insurance will pay for it since she is not the specialist treating my op. From my insurance app I could see in the past the lab billed my insurance a hefty $amount, which was more than double of the retail cash price if i were to order the tests myself online. After "network discount and deductions", the lab gets reimbursed with a fraction of the original amount they billed. In case my insurance doesn't pay btms because of the "wrong" ordering physician, I'd be stuck with the hefty bill. In that case, I'd be better off by ordering the test myself. This is my dilemma now and I'm seeking for answers from those who went through a similar situation.