Our client services team can help you identify the best billing option for your scenario. Contact us for more information.
For tests ordered by a patient’s provider, patients may pay for the test as part of the provider’s order process or they can choose to have OneOme reach out to collect payment afterwards. OneOme accepts payments from all major credit cards, HSA accounts, and PayPal. In addition, we offer interest-free payment plans when needed. Please contact us for more information.
Please note that a patient’s sample will not be processed until payment is collected or a payment plan has been established.
For RightMed Tests ordered through the independent provider network, OneOme accepts payment from credit cards, HSA accounts, and PayPal (insurance billing is not available for this option).
Institutional billing is available with or without a contract, but most institutions choose to secure contracted pricing. Testing is not invoiced until a report has been delivered. We offer a variety of payment options including check, credit card, or wire transfer. Please contact us for more information.
Our goal is to provide patients the lowest cost option available to them. Depending on a patient’s insurance, their maximum out-of-pocket cost may vary.
For government-funded insurance programs, such as Medicare, Medicaid, Managed Medicaid Plans, or TRICARE, a patient’s out-of-pocket cost will be $0. Medicare Advantage plans may have a copayment or deductible requirement.
For RightMed Tests ordered by a patient's provider where insurance billing is selected, OneOme will determine if the patient qualifies for our Financial Assistance Program. Those who qualify will receive a letter from OneOme with their maximum patient responsibility amount and information on what to expect during the billing process.
OneOme offers financial assistance to reduce out-of-pocket costs for qualified patients in the U.S. to $299 or less. To be eligible patients must have private insurance and meet income requirements (pre-tax household income up to 600 percent of the federal poverty level).
Use the table below to predict your out-of-pocket cost of the RightMed Test based on household size and income. Income values are pre-tax and based on 2020 poverty guidelines for the 48 contiguous states and the District of Columbia (aspe.hhs.gov/poverty-guidelines). For each additional member in your household add $4,480 to the income range.
|Household size||Income range||Patient's RightMed Test cost|
|1||$0 to $12,760||$49|
|1||$12,761 to $25,520||$99|
|1||$25,521 to $38,280||$149|
|1||$38,281 to $51,040||$199|
|1||$51,041 to $63,800||$249|
|1||$63,801 to $76,500||$299|
|1||$76,501 +||OneOme offers patient self-pay ($349)|
|2||$0 to $17,240||$49|
|2||$17,241 to $30,000||$99|
|2||$30,001 to $42,760||$149|
|2||$42,761 to $55,520||$199|
|2||$55,521 to $68,280||$249|
|2||$68,281 to $81,040||$299|
|2||$81,041 +||OneOme offers patient self-pay ($349)|
|3||$0 to $21,720||$49|
|3||$21,721 to $34,480||$99|
|3||$34,481 to $47,240||$149|
|3||$47,241 to $60,000||$199|
|3||$60,001 to $72,760||$249|
|3||$72,761 to $85,520||$299|
|3||$85,520 +||OneOme offers patient self-pay ($349)|
|4||$0 to $26,200||$49|
|4||$26,201 to $38,960||$99|
|4||$38,961 to $51,720||$149|
|4||$51,721 to $64,480||$199|
|4||$64,4801 to $77,240||$249|
|4||$77,241 to $90,000||$299|
|4||$90,001 +||OneOme offers patient self-pay ($349)|
It is the responsibility of the submitting party to determine the correct billing codes to use when filing billing claims to third-party insurance. Below is a list of relevant codes.
|Gene||CPT code||CPT code description|
|CYP1A2||81479||Unlisted molecular pathology procedure|
|CYP2B6||81479||Unlisted molecular pathology procedure|
|CYP2C19||81225||Cyp2c19 gene common variants|
|CYP2C9||81227||Cyp2c9 gene common variants|
|CYP2D6||81226||Cyp2d6 gene common variants|
|CYP3A4||81230||Cyp3a4 gene common variants|
|CYP3A5||81231||Cyp3a5 gene common variants|
|SLCO1B1||81328||Slco1b1 gene common variants|
|NUDT15||81479||Unlisted molecular pathology procedure|
|OPRM1||81479||Unlisted molecular pathology procedure|
|COMT||81479||Unlisted molecular pathology procedure|
|DRD2||81479||Unlisted molecular pathology procedure|
|HTR2C||81479||Unlisted molecular pathology procedure|
|HTR2A||81479||Unlisted molecular pathology procedure|
|DPYD||81232||Dpyd gene common variants|
|GRIK4||81479||Unlisted molecular pathology procedure|
|IL28B (IFNL4)||81283||Ifnl4 gene|
|TPMT||81335||Tpmt gene common variants|
|SLC6A4||81479||Unlisted molecular pathology procedure|
|CYP2C Cluster||81479||Unlisted molecular pathology procedure|
|CYP4F2||81479||Unlisted molecular pathology procedure|
|HLAA||81381||Hla i typing 1 allele hr|
|HLAB||81381||Hla i typing 1 allele hr|
|MTHFR||81291||Mthfr gene com variants|
OneOme’s tests were developed and their performance characteristics have been determined by OneOme, LLC, a clinical laboratory located at 807 Broadway Street NE, Suite 100 Minneapolis, MN 55413. They have not been cleared or approved by the U.S. Food and Drug Administration. OneOme is regulated under CLIA-88 as qualified to perform high-complexity testing. These tests are used for clinical purposes and should not be regarded as investigational or for research.
Dedicated experts are available to answer your questions. Speak with a client service representative today.