A comprehensive overview of payment methods and procedures for practitioners and patients located in North America and Canada.
If you are located outside of these regions, access our international payment information.
Practitioner Pay
Choose this Option:
If you are a practitioner who plans to pay MosaicDX directly for testing and collect reimbursement directly from your patients.
How it Works:
Submit payment information for your testing upfront, charges applied after the sample is received at our lab.
An order statement containing pricing before any adjustments will be provided.
Multi-Test Discount:
Every MosaicDX test is eligible for the multi-test discount. For 2 tests placed for the same patient at the same time, a 10% discount will be applied to the total cost of both tests; for 3 tests, a 15% discount will be applied; and for 4 tests or more, a 20% discount.
2 Tests Ordered
10% off total cost
3 Tests Ordered
15% off total cost
4+ Tests Ordered
20% off total cost
Geographic availability: All USA except NY, RI and NJ.
Eligible testing: All
Patient Pay
Choose this Option:
If you are a patient who plans to pay for testing yourself, you have the option to make a direct payment to MosaicDX.
MosaicDX tests are eligible for HSA and FSA.
How it Works:
Submit payment information for your testing upfront, charges applied after the sample is received at our lab.
Multi-Test Discount:
Every MosaicDX test is eligible for the multi-test discount. For 2 tests placed for the same patient at the same time, a 10% discount will be applied to the total cost of both tests; for 3 tests, a 15% discount will be applied; and for 4 tests or more, a 20% discount
2 Tests Ordered
10% off total cost
3 Tests Ordered
15% off total cost
4+ Tests Ordered
20% off total cost
Geographic availability: All USA except NY state
Eligible testing: All
Insurance Billing
Choose this Option:
If you are a patient paying out-of-pocket for testing and choosing to file an insurance claim using payment receipt.
MosaicDX testing is HSA and FSA eligible.
Authorizing practitioners must have an NPI for insurance to be filed.
- Insurance is filed in the state where the referring practitioner’s NPI
is registered or located.
How it works:
Patients makes payment for testing amount plus a $40 filing fee.
- A single $40 filing fee would be applicable for multiple samples received from the patient on the same day.
- Samples received and filed on separate claims would each be subject to separate $40 filing fees.
If the patient’s test is covered by their insurance, any reimbursement will be sent directly to the patient from their insurance carrier.
- By filing a claim, MosaicDX is not guaranteeing reimbursement
- A single $40 filing fee would be applicable for multiple samples received from the patient on the same day
Geographic availability: Please refer to insurance details section below for specific state plan limitations.
Eligible testing: Not all testing can be filed through insurance. Please refer to insurance details below for specific limitations.
Insurance Options
Verify your expenses with your insurance company and determine if your plan is considered in-network to help calculate your out-of-pocket expenses. For any questions regarding insurance coverage, please call 913-341-8949 or 913-754-0459.
- By filing a claim, GPL is not guaranteeing insurance coverage
- Always call your insurance provider to confirm benefits as insurance coverage is subject to change
- BCBS insurance is filed in the state where the referring physician’s NPI is registered, or where the referring physician’s NPI is located
- We require full patient cash price payment up-front PLUS a $40 filing fee per claim to be submitted along with the sample.
Plans and Tests Not Covered – cash pay required
MosaicDX will NOT file a claim with these insurance plans
- Blue Cross Blue Shield of: CA (XEH), FL, HI, IA, KS, LA, MS, MT, NE, NJ, NY, SD, and Capital Blue Cross (PA)
- Anthem CA: Silver Direct Access Plan, Writers Guild, Directors Guild, Actors Guild
- Empire BCBS (NY)
- Capital Blue Cross (PA)
- Aetna (all plans)
- All Savers
- Avmed
- GEHA
- Harvard Pilgrim
- HMO plans
- Horizon of New Jersey
- Medicaid
- Medicare
- Medicare Advantage
- ODS / Moda
- Select Health
- Regence Uniform
- Tricare
- Tufts
- UMR
- UHC of the River Valley
- Veterans Health Adm.
These tests are NOT covered by ANY insurance plan
- GPL-TOX Profile
- MycoTOX Profile
- Amino Acids Test (Plasma or Urine)
- Calcium + Magnesium Test
- DNA Methylation Pathway Profile
- Glyphosate Test
- Homocysteine Test
- Iron + Total Iron-Binding Capacity Test (TIBC)
- Kryptopyrrole Test
- Omega-3 Index Complete
- Porphyrins Profile
Restrictions – cash pay required
GPL will NOT file claims for these tests to these insurance plans
Comprehensive Stool Analysis
- Cigna
- BCBS Illinois, Kansas City, Federal Employee Program
IgG Food MAP
- Anthem BCBS California, Indiana, Virginia
- Blue Cross Blue Shield CO, IL, MA, NC, PA, SC, TX, VT, WV, KC,
- Federal
- Blue Shield of California
- Horizon of New Jersey
All Metals Testing
- BCBS KC/Federal Employee Program
All Hormones Profiles
- BCBS KC/Federal Employee Program
CPT Codes are also known as procedure codes and are how insurance will determine the nature of the test.
Pricing
Patient Pricing: For pricing information on our laboratory testing, reach out to your healthcare provider. If you don’t have a practitioner, contact our customer service team and they can connect you with one in your area.
North American and Canada Practitioner Pricing: Contact us at sales@mosaicdx.com
Acceptable Payment Methods
Payment must accompany all specimens for processing.
- All major credit cards including Visa, Master Card, Discover, American Express, JCB, and Diners Club
- Health Saving Accounts (HSA) and Flexible Spending Accounts (FSA) with Visa, Mastercard, Discover or American Express
- Check or Money Order
- Wire Transfer
Cancellation Policy
To cancel any tests, Mosaic Diagnostics must receive a written notice within 24 hours of the laboratory receiving the sample. Cancellation requests made outside of this timeframe will be subject to a cancellation fee. To request a cancellation, please email our billing department for the cancellation form.