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Payers Using Two Approaches To Price Molecular and Genetic Tests

One is nuanced, sophisticated, the other is more about lower prices for genetic tests

EXECUTIVE SUMMARY: This analysis, unique to THE DARK REPORT, contrasts the decision of Palmetto GBA to distinguish between “hotspot” tumor panels (meaning those targeting 5 to 50 genes and 51 or more genes) versus “sequencing” tumor panels in coding and pricing NGS test panels, with simpler approaches used by other health insurers. Understanding these differences …

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