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Prostate Cancer | Last Active: 7 hours ago | Replies (38)
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@mjp0512 If he was GG3/unfavorable intermediate risk, for sure. GG2 on the other hand seems to be too low for private carriers, suggesting medical necessity is always accepted as justified. Medicare seems to be more lenient.
Replies to "@mjp0512 If he was GG3/unfavorable intermediate risk, for sure. GG2 on the other hand seems to..."
@chocchip I'll tell you what. My first PSMA PET was done after a biopsy showed Gleason 9 (5+4) GG5 with 10 of 12 cores at 100%. Sure wish I had a time machine to go back and have it done at (3+4).
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@chocchip I meant “… medical necessity is NOT always accepted as justified”.
Sorry for the typo.