Table 2.
Technical and professional costs associated with tumor testing, genetic counseling, and germline testing of endometrial carcinomas.
| Medicare reimbursement amounts | Cost with SGO Screening N = 97 |
Cost for Universal Screening N = 412 |
|
|---|---|---|---|
| Initial genetic counseling consultation (1 hr)a | $192.67 | $18,688.99 | $8,862.82 |
| Follow-up genetic counseling visits (30 min)a | $105.20 | $11,151.20 | $4,628.80 |
| IHC for MLH1, MLH2, MSH6, and PMS2b | $422.08 | $40,941.76 | $173,896.96 |
| MLH1 promoter methylation assay for tumor with IHC loss of MHL1c | $90.25 | $1,173.25 | $8122.50 |
| Single gene germ-line testingd | $1300 | $19,500 | $57,200 |
| Single site testinge,f | $475 | N/A | N/A |
a
Medicare does not reimburse for genetic counseling. Costs shown are estimates for genetic counseling before genetic testing.
b
CPT code 88342 used for each individual IHC DNA MMR protein
c
CPT stack codes 83900, 83909, 83912 used in 2012 (no longer effective 01/2013).
d
Cost of germline testing was obtained from Myriad ABN worksheet
e
Cost of single site testing was obtained from Myriad ABN worksheet
f
Single site testing intended for first degree relatives of patients with endometrial cancer who were identified as having Lynch Syndrome based upon positive germline test results