Interesting info. Someone wrote that Medicare pays for the Decipher test. At the time of biopsy, I was "not" told that my "insurance" would not cover the Decipher test. I was still under my wife's medical plan in December 2024, but my Medicare had already kicked in mid-September. So, it "should" have been covered. I only learned of the Decipher test after my RP when reading this blog. That's when I asked and was told that my insurance would not pay for it. A couple weeks ago, I expressed to my urologist that I was angry that no one called me to see if I would be willing to pay for the Decipher test as cash out of pocket. My urologist's response was "now that we have the surgical pathology report documenting EPE, surgical margins, cribriform glands, and left seminal vesicle invasion (rolled up to a pT3b cancer classification), we know all we need to know...the Decipher test won't tell us anything more than we know now." I would like to hear from any urologists on this blog to tell me whether such a statement is "true." I also had separate Genetic screening done that tested for scores and scores of genes and mutations. I do not have one cancer gene or mutation of any kind in my body, per that test. So, needless to say, I am confused. I guess you can have prostate cancer without BRCA genes or another mutations. Thanks in advance to any urologists who respond to my question above.