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. 2013 Jan-Feb;6(1):15–24.

Table 5.

Total Annual Costs and Budget Impact: Reference Scenario versus New Scenario

Reference scenario (standard of care) New scenario (epigenetic assay)
Cost Total annual cost, $ PMPM cost, $ Total annual cost, $ PMPM cost, $
Total cost of epigenetic assay 0 0 1,623,143 0.14
Total cost of repeated biopsies 2,864,142 0.33 710,198 0.06
Total cost of repeated biopsies avoided 0 0 2,152,276 0.18
Total diagnostic cost to health plan 2,864,142 0.24 2,333,341 0.19
Total diagnostic cost per patient 3172 0.24 2584 0.19
Total budget impact to plan −530,801
Total budget impact to plan PMPM −0.442

PMPM indicates per member per month.