Octotype or Mammoprint?

I would try to determine which one your insurance is likely to pay for.  My surgeon ordered a Mammaprint but did not have an insurance referral in place prior to the test, which is done at biopsy.  My insurance does not cover Mammaprint because it considers this test "experimental" even though it has FDA approval.  This is a $5,000 test and is only done at one lab.  Oncotype DX is more prevalent, and it is different from the Mammaprint test which gives you only a high/low result, it may offer more finite information regarding the benefit of chemo for your situation.  I would not have both, and I would be very surprised if your insurance covred both.  Good luck!

mimi8 - was it your BS who ordered the mammaprint?  Usually that information is for your oncologist to use right after your initial surgery.  Your PS would have no particular use for it.  If it is not covered by your insurance you may ask your BS office to contact the Agendia Lab (Mammaprint) to see if they will adjust off your balance, or most of it, if you did not sign anything indicating that you would be responsible if it was not covered by your insurance.  I had a positive SNB, and also had axillary dissection which showed a larger positive node.  Both my BS and oncologist were in favor of this surgery.  I would recommend having your arm measured prior to this surgery, and to be very careful about movement of your arm for at least 10 days following the surgery to try to minimize lymphedema risk.  A referral to a Lymphedema Certified physical therapist may also be a good idea to help you move the arm correctly afterward.  This referral would most likely come from your BS also.  I hope everything goes well.