The maximum out-of-pocket cost for SEMA genetic testing, specifically the Sema4 283 gene Expanded Carrier Screen, is \$249 per person or \$349 per couple, if the cost is billed directly to the patient.
Understanding SEMA Genetic Testing Costs
SEMA genetic testing, particularly their expanded carrier screening, aims to identify genetic conditions that could be passed on to offspring. While insurance billing is typically pursued first, a maximum out-of-pocket cost is set for patients to ensure affordability and transparency.
Cost Breakdown
The cost structure for the Sema4 283 gene Expanded Carrier Screen is designed with a patient maximum, which applies if the carrier screening cannot be billed to insurance or if the insurance coverage is less than these amounts, resulting in the patient being responsible for the remainder up to this maximum.
| Patient Type | Maximum Out-of-Pocket Cost |
|---|---|
| Individual | \$249 |
| Couple | \$349 |
What's Included?
The listed cost for the Sema4 283 gene Expanded Carrier Screen encompasses the genetic testing itself along with a consultation fee. This consultation fee covers a brief pre-test check-in and a post-test check-in with the patient. It's important to note that this specific cost does not include a comprehensive review of family history.
Billing Process
SEMA (which is now part of Laboratory Corporation of America Holdings, or Labcorp) typically attempts to bill insurance for carrier screening services whenever possible. The stated maximum costs serve as a cap on what a patient would pay if insurance does not cover the test, or if their coverage is less than the specified maximums, ensuring financial predictability.
