PRP is also out of pocket. I got 3 estimates…$750 for left side only 1700 for left side only , and 1200 (for both left and right tendon tear)…went with the last one as that doc actually did an MRI to see that there were tears on both the left and right while 2 previous docs were just going to inject steroids into the right side without knowing that it too was a tear. Just before the PRP, office manager called to say that the $1200 estimate had been changed to $2000 for both sides. I know PRP has been used for years, but am not sure if enough research has been performed for it to be accepted as something that can be paid for by insurance. 3rd physician is careful and calculating and I trust her much more than 2 previous physicians who I felt were very anxious to bring cash into the medical practice, affecting their diagnosing paths.