Medicare Bumps Up Final Pricing for Certain NGS Tests and MAAAs, But Not Enough, Some Say | GenomeWeb

NEW YORK (GenomeWeb) – The Centers for Medicare & Medicaid Services last week issued final pricing determinations for several new CPT codes describing gene sequencing procedures and multi-analyte algorithm-based assays (MAAAs).

Since CMS released initial pricing for these codes over the summer, many labs had been working with the agency during the comment period with the aim of increasing payment. The final prices (see PDF below) suggest that CMS has been swayed by labs, and in many cases increased rates for some of the CPT codes.

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