MolDX Updates Tier 2 Fee Schedule

Beginning in 2013, AMA CPT began issuing several hundred codes for specific genes (such as KRAS) as well as "Tier 2" codes which are organized in 9 ascending levels of complexity and which, in total, contain over 500 gene names.

The CMS MolDX program covers a limited number of single genes by name within the Tier 2 codes.  For these, it publishes pricing.   It does not provide one blanket price per Tier 2 level, but prices its gene by name individually.  There is wide variance for the prices of covered genes within each AMA CPT mopath tier.

For 2016, the pricing was updated on the MolDX website (their table online here).  Tables and graphics after the break.