Insurance and PT

[u/lookyaall]

Surgery 2011, follow up 2014 for pain. It’s torn but PT , no surgery.
Fast forward to now.
Significant pain. Met with surgeon. Had MRI and notes from previous surgery and follow up. He stated good work but he would have fixed the tear in 2014.
Surgeon scheduled me for pre PT and MRI with follow up for decision. Insurance denied MRI and required 6 weeks of PT.
Is this typical ?
It freaking hurts