[MrFixr55]

Thanks for the heads up Ron.  I would think that would be arguable.  I am on a Medicare Advantage plan as my sole insurance.  Since the Cologard ™ was positive and their instructions state clearly that positive results must be backed up by by confirmatory tests (Colonoscopy) and since this disclaimer was likely required for Exact Sciences (the producer of Cologard) to receive FDA approval for the test.

I have to look up the EOB again, but Aetna Medicare PPO was billed about $580 for Cologard.  I don't know how much they actually paid Exact Sciences for the test.

I'll cross that bridge (or fall off it) when I get to it.

Although we have to be good stewards of healthcare resources, we also need to get some of these yahoos out of the utilization review departments of these companies.  Years ago when I had a colonoscopy, my insurance carrier denied the anesthesia bill (sedation).  They also refused to pay a bill for anesthesia the year before that for repair of an incarcerated (almost strangulated) hernia whose corrective surgery took 3 hours.  

Anesthesia for abdominal surgery has to be strong enough to stop all movement of the mesentery but not stop your heart.  They claimed that the $1800 bill was unreasonable, that the anesthesiologist was out of network and that the level of anesthesia provided was not necessary.  I lost the appeal.  They paid the Anesthesiologist $500.00 The Anesthesiologist was kind enough to charge me the Medicaid rate and I had to pay only $400 instead of the remaining $1300.  Their idea of anesthesia was a shot of whiskey and bite on a bullet.