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Aetna considers any of the following serum tumor markers for the stated indication medically necessary:. In addition, women with isolated tumor cells in lymph nodes micrometastases are considered node negative. Repeat Oncotype Dx testing or testing of multiple tumor sites in the same person has no proven value for other indications. Footnote3 3 Aetna considers repeat testing or use of more than one type of test to assess risk of prostate cancer progression Oncotype Dx Prostate, Decipher, Prolaris, or ProMark experimental and investigational. Aetna considers urinary biomarkers e.
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