If, during your colonoscopy, the doctor finds multiple polyps, he may have to remove the polyps using different techniques.  The techniques are determined by the size and shape of the polyps and the way they may be attached to your colon.  One of the polyps may have to be removed by one method, and another may be removed by a different method.  If the polyps are located in different areas of your colon and are removed by different methods,the removal of each is considered a separate procedure by your insurance company.