Maternit21 test cost

For pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex. Method Name. Cell-free DNA is isolated from the sample and analyzed using massively parallel sequencing technology.

Maternit21 test cost. Getting the MaterniT21 test results posted, then they amended it simple blood test more than the anatomy )! Test Pros and Cons - POPSUGAR Family /a > 10 purpose of the time greater! Is the MaterniT21 test results are in 2013 alone what the sex of your baby results Said without understanding significance...

MaterniT21. GTR Test ID Help Each Test is a specific, orderable test from a particular laboratory, and is assigned a unique GTR accession number. The format is GTR00000001.1, with a leading prefix 'GTR' followed by 8 digits, a period, then 1 or more digits representing the version. When a laboratory updates a registered test, a new version ...

2012年2月15日 ... But analysts think the MaterniT21 test will be a big focus for the company. ... For women with private insurance, there's an out-of-pocket cost of ...Test Definition: FMT21 MaterniT21 Plus _____ _____ Document generated September 28, 2023 at 06:03 AM CT Page 3 of 3 7 to 14 days Performing Laboratory Location Sequenom Center for Molecular Medicine LLC Fees & Codes Fees Authorized users can sign in to Test Prices for detailed fee information.List of FiguresFIG. 1 Non-Invasive Prenatal Testing: Market SegmentationFIG. 2 Global Non-Invasive Prenatal Testing Market, by Test, 2012 (USD Million)FIG. 3 Porter's Five Force Analysis: Global ...Please let me know of your stories. I went in for the MaterniT21 blood test at 12 weeks since I wanted to find out the gender a bit early. However I got the call two days ago saying that I am at high risk for baby to have down syndrome. I'm honestly in shock. I have to go in for a more extensive ultrasound and possibly an amnio or cvs.Jan 30, 2021 at 6:43 AM. Mine was covered since I'm 40, but just in case they weren't going to cover it, the test I had done (MaterniT21) has a cost share program. If insurance rejects, they will help cover the cost and you pay around $250. If your insurance pays a portion, and leaves you with a balance of more than $250, you still won't ...

I called my insurance and was told its not covered... I believe they said it was over $2,000. Those of you getting it done, is your insurance covering it? If not, how much are you paying? TIA!Inheritest® Core Panel. TEST: 481776. CPT: Contact CPT coding department at 800-222-7566, ext. 6-8400. Print Share Include LOINC® in print.LabCorp's NIPT MaterniT21 $299 Pricing. I'm considering getting the MaterniT21 done. I talked to Labcorp and was quoted ~$800 out of pocket cost if billed through our insurance and should count towards my deductible. They told me about Moms Helping Moms program and the $299 price if I complete a survey that's sent out after the testing is done.MaterniT21™ PLUS (Sequenom Laboratories, now LabCorp) core test includes T21, T18, T13, and fetal sex aneuploidies. ... Harmony™ ( Ariosa Diagnostics, now Roche ) tests for T21, T18, and T13. The test uses directed DNA analysis and results are reported as a risk score. Panorama™ (Natera) is a prenatal test for detecting T21, T18, and T13 ...kinaski. Feb 7, 2022 at 2:26 PM. Afp is more sensitive for Neural tube defects like Spina bifida. Afp is used for DS screening only in combination with other hormones in your blood. Nipt is far more accurate for trisomies. Don't worry at all!They provide the same information as a legal DNA test, but they are not intended for use in a court of law. If there is a possibility that the results might be needed for legal purposes, a legal test should be performed. Labcorp DNA's maternity tests provide scientific evidence of whether a woman can be a child's biological mother and can be ...

My OB only offers the MaterniT21 test. The billing office told me MaterniT21 will cost 2,000 - but if I can get the Natera I can self pay for about 300.... Latest: 8 months ago | karime376How much does MaterniT21 cost? Both companies offer self-pay options for women without insurance: The price is $450 to $500 for MaterniT21 Plus and an “introductory price” of $495 for Verifi. How long does it take for hCG blood test results to come back? The HCG blood test reveals exact levels in your bloodstream of HCG.For pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex, and sex chromosome aneuploidies. While the results of these tests are highly accurate, discordant results, including inaccurate fetal sex ...MaterniT 21 has quoted me a $900+ out of pocket price based on my insurance and deductive. However, they’re saying that they have a ‘Moms helping moms tomorrow’ program package that the test can cost only $299 if I complete a questionnaire within 30 days of service. Since their quote for my out of pocket was so high, I’m a bit hesitant ...

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2021年3月8日 ... Thus, patients may be more aware of the cost and perhaps feel that genetic counselors are warning them of the price of the test. Conversely ...Use. For pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex. The key to its success: MaterniT21, a new prenatal screening test that did remarkably well at detecting Down syndrome. Older screening tests took months and required multiple blood tests.Legal Tests. At-Home Tests. How it Works. Contact. Home. / Legal Tests. / Paternity Testing. / Paternity Legal Form. Order Labcorp DNA's legal paternity test to establish the parenthood of an individual for a court case such as child support, social security, or child custody.From this panel, the following choices are possible (with links to the LabCorp Test directory): NIPT - 21/18/13 only (LabCorp 451951) (Opens in a new window) NIPT - 21/18/13 with sex prediction (LabCorp 451927) (Opens in a new window) NIPT - 21/18/13 with sex prediction and SCA (LabCorp 451934)* (Opens in a new window) NIPT - 21/18/13 with SCA, No Sex Prediction (LabCorp 452112)* (Opens in a ...Sequenom Laboratories offers the most comprehensive portfolio of noninvasive prenatal testing services, including the VisibiliT™ and MaterniT21 PLUS tests, in addition to the new MaterniT GENOME ...

Inheritest® 14-gene Panel. TEST: 481797. CPT: Contact CPT coding department at 800-222-7566, ext. 6-8400. Print Share Include LOINC® in print.On average, the cost of the Sequenom MaterniT21® test will greatly depend on the lab you use, your doctor and your private insurance provider if you have one. From what we researched from the hundreds of people …The results of non-invasive prenatal testing will help your doctor determine if any additional testing is necessary. This type of testing can also detect the gender of your baby. MaterniT21™ PLUS Testing in NJ. MaterniT21™ PLUS is a new test that offers women an alternative to traditional Down syndrome screening methods during pregnancy.The test is typically done between week 14 and week 22 of pregnancy. Amniocentesis. An amniocentesis, or "amnio" for short, is a diagnostic test that can detect hundreds of genetic and chromosomal conditions, including Tay-Sachs disease and Down syndrome, as well as neural tube defects.If you get the MaterniT21 test through Labcorp they cap the out of pocket cost at $299. I had it done about a month ago and just got my invoice from them and it was $645 after insurance. ... LabCorp guarantees the cost of the test will be no greater than $299. Please call 844.799.3243 and register for the Moms Helping Moms Initiative which will ...I was not offer this test but a different one called Identifi. It is used to detect trisomy problems in chromosomes to 8,13 and 21. Is this similar to the maternit21 test? I am worried about it costing 1500 dollars. When the doctors office called the insurance they said it would be covered because I'm over 35.NIPS (NIPT) Can be performed as early as nine weeks. Tells you the chances of your baby having a chromosomal abnormality such as trisomy 21 (Down syndrome) and—depending on the type of NIPS (NIPT) you choose—many more conditions. Screens for fetal sex. Done via a maternal blood sample from the mother’s arm.commercially available, for detecting fetal chromosomal abnormalities. The test is noninvasive, requiring only a blood sample. And it can be performed as early as 10 weeks' gestation with results provided to your health care provider approximately 5-10 days from receipt of your sample in our laboratory. The MaterniT21 PLUS test reports ...The MaterniT21 PLUS test analyzes circulating cell-free DNA extracted from a maternal blood sample. The test is indicated for use in pregnant women with increased risk for chromosomal aneuploidy. Validation data on twin pregnancies is limited and the ability of this test to detect aneuploidy in a triplet pregnancy has not yet been validated.I'm hoping someone may be able to give me some advice. I'm 11wks5days. I went in for the maternit21 test last Tuesday.

Instead of the Nuchal test and amnio my doctor said all women over 35 are allowed to take this test automatically. It's non invasive - just blood taken from me at 10+ weeks, they pull out the baby's DNA and do genetic testing for chromosomal abnormalities.

The MaterniT Genome test provides comprehensive chromosome copy number analysis including unbalanced derivatives and, information about deletions or duplications of chromosome material 7 Mb or larger, as well as analysis of seven clinically relevant microdeletions less than 7 Mb in size.Based on Aetna’s medical policy document, “Aetna considers noninvasive prenatal testing (NIPT) using measurement of cell-free fetal nucleic acids in maternal blood (e.g., MaterniT21, MaterniT21 PLUS, Verifi Prenatal Test, Harmony Prenatal Test, Panorama Prenatal Test, QNatal Advanced) medically necessary for screening for fetal aneuploidy ...If you got the MaterniT21 PLUS Down syndrome prenatal test did your insurance cover it? ... I'm thinking of having the test done and found out it cost around $250 if not covered by insurance ...2010年6月15日 ... affected offspring, because the test sensitivity is <100% (~90% detection rate). ... 2008;90(6):2328-2333. 73. Labcorp. MaterniT21 PLUS. ©2021 ...This test is optional, therefore you will need to check with your insurance for coverage information and cost to you if you choose to have this done. ... MaterniT21 : 81420. 81422. Z34.90 (pregnant) 009.5 (pregnant, advanced maternal age; 1st, 2nd, 3rd trimester)Text4baby is a free service that sends you three text messages a week throughout your pregnancy and your baby's first year. The messages include expert health and safety tips on prenatal care, nutrition, safe infant sleep and more. You can cancel the service whenever you wish. Aetna has been an outreach partner of Text4baby since 2010.Has anyone been able to use an outside lab other than your OB's office for the Natera NIPT? My OB only offers the MaterniT21 test. The billing office told me MaterniT21 will cost 2,000 - but if I can get the Natera I can self pay for about 300....Like most NIPSs (NIPTs), MaterniT® GENOME screens for common trisomies (such as 21, 18, and 13) and fetal sex. Like some more comprehensive NIPSs (NIPTs), it also screens for sex chromosome aneuploidies, and analyzes seven clinically significant microdeletion regions. Unlike any other NIPS (NIPT) to date, MaterniT GENOME also analyzes every ...

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Oldest First. mg332. Feb 11, 2021 at 9:23 AM. My MaterniT21 results took exactly 7 days (Mon morning to Mon morning). With my first child they took 5 days (Mon morning to Fri afternoon). I knew MaterniT21 had a notoriously quick turnaround time, so when I hadn't heard anything by Monday morning I called my doctor and sure enough the results ...florentinajd. Sep 21, 2016 at 8:07 PM. I am 35, I was pretty sure tricare will cover but it didn't because of the code, we end up paying $200 only as the test is about $2750. Check tricare website and show ur dr what tricare covers.MaterniT 21 PLUS has a very low 0.9% 6 published non-reportable rate for trisomies 13, 18, 21, and a low 2.08% non-reportable rate on samples drawn at 9 weeks …MaterniT21. GTR Test ID Help Each Test is a specific, orderable test from a particular laboratory, and is assigned a unique GTR accession number. The format is GTR00000001.1, with a leading prefix 'GTR' followed by 8 digits, a period, then 1 or more digits representing the version. When a laboratory updates a registered test, a new version ...Text4baby is a free service that sends you three text messages a week throughout your pregnancy and your baby's first year. The messages include expert health and safety tips on prenatal care, nutrition, safe infant sleep and more. You can cancel the service whenever you wish. Aetna has been an outreach partner of Text4baby since 2010.Feb 14, 2017 at 10:40 AM. Hi I had the Harmony NIPT test which I think is the same thing. It tests for T13 T18 and T21. We had a previous late miscarriage last March due to T18 so I can understand your nerves. I was a mess for the first trimester of my pregnancy this time. Our results were clear < 1-10,000 chance.Jan 7, 2022 at 8:16 AM. This is the second baby I've got the Maternit21 test with. LabCorp is located in the same building as my OB so she referred me there. The test cost me $150 out of pocket and I got my results back in five days. LabCorp is open on the holidays so I had no delay from Christmas or New Years.j. jek1115. Apr 22, 2023 at 5:14 PM. Got my blood drawn on Friday! I called lapcorp and they said to expect results on 4/27. It's going to be a long week!Natera Test Cost. m. mrfindla. Jan 31, 2022 at 10:49 AM. I just got billed by Natera for my Panorama test and kind of freaked out. It’s $645 with insurance. Though I’m hoping that’s a mis-wording in the email and that insurance will chip away at it some more. Did your insurance cover it?In order to find 95% of fetuses with Down Syndrome (DS), the test will overcall 5%. This is called a false positive rate. It detects 80% of neural tube defects; ...For example, MaterniT21 PLUS looks at microdeletions and other abnormalities in a dozen specific chromosomes. ... Should your test remain unreportable after the second blood draw, we will reimburse you the full cost of the test. However, MaterniT GENOME has a very low rate of non-reportable results. ….

May 1, 2013 · I was not offer this test but a different one called Identifi. It is used to detect trisomy problems in chromosomes to 8,13 and 21. Is this similar to the maternit21 test? I am worried about it costing 1500 dollars. When the doctors office called the insurance they said it would be covered because I'm over 35. Other companies who offer it include Genesis Serenity, Natera, and MaterniT21. The test I took screened for Down Syndrome (Trisomy 21), Edwards syndrome (Trisomy 18), and Patau syndrome (Trisomy ...Mistake on MaterniT21? I am currently a first time mom, 12+3 weeks pregnant with confirmed di di twins. I had an ultrasound showing two wiggly babies with strong heartbeats, both measuring over 12 weeks on Monday, and then immediately had the MaterniT21 test blood work drawn after the ultrasound. I got my results this morning!Legal Tests. At-Home Tests. How it Works. Contact. Home. / Legal Tests. / Paternity Testing. / Paternity Legal Form. Order Labcorp DNA's legal paternity test to establish the parenthood of an individual for a court case such as child support, social security, or child custody.The MaterniT21 PLUS test analyzes circulating cell-free DNA extracted from a maternal blood sample. The test is indicated for use in pregnant women with increased risk for chromosomal aneuploidy. Validation data on twin pregnancies is limited and the ability of this test to detect aneuploidy in a triplet pregnancy has not yet been validated.Clinical advantages of Panorama NIPT: Panorama is the only SNP-based NIPT able to distinguish between the pregnant person's and fetal (placenta) DNA to deliver unique, clinically validated capabilities. 1,5-9 Panorama detects conditions that other tests cannot, including molar pregnancy, triploidy and vanishing twin. 4 Panorama screens for Down syndrome with 99% sensitivity and 99.95% ...A government program that is means tested is not available to individuals or households with incomes that are deemed too high. Unlike universal programs.... If you follow politics you might have noticed the phrase “means tested.” It’s used ...The MaterniT21 PLUS assay has shown its reliability in the clinical setting for more than two years, and this review of the laboratory's 100,000 cases further supports the performance of the test. As NIPT technology continues to improve, and content continues to expand, we will all gain greater and greater knowledge about fetuses prenatally.NEW YORK (GenomeWeb) - Sequenom ran 39,800 of its MaterniT21 Plus tests in the first quarter of 2014, 14 percent more than it ran in the first quarter of 2013, and an 8 percent jump over the previous quarter, helping to drive a 20 percent increase in revenues to a record $46.3 million.Are you considering taking the Paraprofessional Test? If so, you’ve come to the right place. This article will provide an overview of what you need to know about taking the Paraprofessional Test. Maternit21 test cost, A) to test only Trisomies 21, 18, 13 and fetal sex at reduced cost in multiple and single pregnancies with MaterniT21 /18/13. B) to test Trisomies 21, 18, 13, all 4 sex chromosomal abnormalities (total of 7 syndromes) and fetal sex at reduced cost in single pregnancies with MaterniT21 Base ., NIPT test cost. A single test of NIPT initially prices at Rs.50, 000 to Rs.60, 000 in India which is now Rs.25,000. The initial high rate of the tests is ..., 25137 MaterniT21 Plus Marshfield Lab Public WebSite. Marshfield Clinic Public WebSite. Search ... fetal ultrasound abnormality suggestive of aneuploidy and/or positive serum screening test. Test Components. Analyzes the relative amount of 21, 18, 13, and Y chromosomal material in circulating cell-free DNA from a maternal blood sample. ..., Figure 1. MaterniT21 PLUS test indication in multifetal pregnancies *T13 and T18 testing started in February 2012 ** Majority of 'discordant positive' results reported with known co-twin demise, suggestion of placental mosaicism (abnormal biochemical screening, IUGR), or rescue due to co-segregation with translocation Table 2., MaterniT 21 PLUS now features Positive Predictive Value (PPV) in addition to Fetal Fraction (FF) on all positive lab reports, and Positive / Negative reporting to help you reduce time spent interpreting complicated patient reports. MaterniT 21 PLUS also allows for EMR and online interface ordering and reporting., Why aren't tests like Maternit21 or Harmony offered (or standard) for all women? Close. 11. Posted by #2 4/24/2018 - I'm outnumbered. ... I'm getting the NT test in a few weeks, and I am being screened for CF - those things were covered - but when I asked about Maternit21 I was told it wouldn't be covered as I am considered low risk., For pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex. Method Name. Cell-free DNA is isolated from the sample and analyzed using massively parallel sequencing technology., If you need help covering your expected Natera genetic and carrier testing bill, we offer financial assistance programs for individuals and families who qualify. You can apply for financial assistance using this webform. For additional questions regarding cost, Natera's billing phone number is 1-844-384-2996., LIMITATION OF THE MATERNIT21™ PLUS TEST: The : MaterniT21™ PLUS: test evaluates fetal genetic material and makes a determination for chromosome 21, 18 and 13 representation and other chromosomal abnormalities, ... DNA test results do not provide a definitive genetic risk in all individuals. Cell-free fetal DNA does not replace the accuracy ..., Based on past literature demonstrating that women preferred NIPT to FTS and diagnostic testing (Allyse et al. 2014; Vanstone et al. 2019) and the idea that cost of testing presents a barrier to equitable care, we hypothesized that low-risk women with private insurance elect whether or not to have NIPT based on factors of financial burden (e.g ..., As a noninvasive prenatal test, MaterniT 21 PLUS is different from both. It has higher detection rates than serum screening 1 (determined to be 97.9 ..., Use. For pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex., NeonNoon member. August 2014. We called Progenity. Even though we don't have maternity coverage, they said we would be charged $25 per test, because we …, Aug 7, 2014 · NeonNoon member. August 2014. We called Progenity. Even though we don't have maternity coverage, they said we would be charged $25 per test, because we have other insurance (BCBS TX). If you have no insurance at all the self-pay rates are $795 for Verifi and $800 for the nxtPanel. , MaterniT21 PLUS 81420 The billing for MaterniT21 PLUS is done by Sequenom, the lab that performs the test. It is recommended that you contact Sequenom at 844-799-3243 prior to your visit to review insurance coverage, estimated out of pocket cost, eligible discounts, and payment options for MaterniT21 PLUS. Sequential Screening Ultrasound 76801 ... , Use. For pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex, and an enhanced sequencing series that examines seven clinically relevant microdeletions and two additional chromosomal regions, trisomies 22 ..., Test results can be used to direct the timing of a cesarean section, fetal transfusion or in counseling the parents concerning a genetic disorder. There are 2 common tests performed: amniocentesis and chorionic villus sampling. • Amniocentesis is generally performed at between 14 and 18 weeks gestation for genetic testing., A maternal serum screening test: tells you the chance that your baby could have trisomy 21 (Down syndrome), trisomy 18 or open neural tube defects. will detect about 80%–90% of babies with these birth defects, depending on the particular test your doctor uses and how far along you are in your pregnancy. That means that about 10%–20% of ..., It is a very useful screening test. But the percentage is actually higher. The 5% accounts for those who have high risk pregnancies and/or are of advanced maternal age. You can check out r/NIPT to see others who have had false positives. Whoops, I'm getting the MaterniT and AFP Tetra tests mixed up., A maternal serum screening test: tells you the chance that your baby could have trisomy 21 (Down syndrome), trisomy 18 or open neural tube defects. will detect about 80%–90% of babies with these birth defects, depending on the particular test your doctor uses and how far along you are in your pregnancy. That means that about 10%–20% of ..., A maternal serum screening test: tells you the chance that your baby could have trisomy 21 (Down syndrome), trisomy 18 or open neural tube defects. will detect about 80%-90% of babies with these birth defects, depending on the particular test your doctor uses and how far along you are in your pregnancy. That means that about 10%-20% of ..., The MaterniT21® Plus test is based upon circulating cell-free DNA purified from the plasma component of anti- ... Pan M, Huang LY, Zhen L, Li DZ. A cost-effectiveness analysis comparing two different strategies in advanced maternal age: Combined first-trimester screening and maternal blood cell-free DNA testing. Taiwan J Obstet ., The screening test analyzes more chromosomal regions than most other noninvasive prenatal tests, and can be used as early as 10 weeks into gestation. ... Unlike Sequenom's MaterniT21, QNatal ..., Blue Cross Blue Shield (BCBS) has provided health insurance since 1929 and is one of the most recognized names in the health insurance industry. BCBS offers nationwide health care coverage in all 50 states, Washington, D.C., and Puerto Rico. It offers individual, family, and Medicare plans, and most health care providers accept BCBS., Jan 30, 2021 at 6:43 AM. Mine was covered since I'm 40, but just in case they weren't going to cover it, the test I had done (MaterniT21) has a cost share program. If insurance rejects, they will help cover the cost and you pay around $250. If your insurance pays a portion, and leaves you with a balance of more than $250, you still won't ..., Are you curious to know what your IQ score is? An IQ test is a great way to measure your intelligence and can help you understand your strengths and weaknesses. With the right resources, you can find out your IQ score quickly and accurately..., Maternit21 results timeframe. a. aftm2020. Feb 12, 2022 at 2:04 PM. Hey all! For those who have had the maternit21 testing how many days did it take for you to get your results? I had mine drawn 2/7 in nj and according to lapcorps website it's estimated turn around time is 5-7 days. I'm so impatient lol! Like., MaterniT21™ PLUS (core test: T21, T18, T13, and fetal sex aneuploidies; enhanced sequencing series includes T16, T22, and microdeletions) ... prenatal testing for aneuploidy detection in multiple pregnancies. Prenat Diagn. 2019 Dec;39(13):1273-1282. PMID: 31671222. 8. Chibuk J, Rafalko J, et al. Cell-free DNA screening in twin pregnancies: A ..., 452122. Order Code Name. MT21 PLUS Core ESS SCA NO Gndr. Result Code. 452158. Result Code Name. Monosomy X (Turner Syndrome) Result LOINC. 75570-2., This test, st most, looks at three. However,mthe NT scan is really only targeted to examine risk for the same three trisomies, so if you have a positiv screen on that, this test would be a definitive answer for those pacific concerns. Just as a heads up-this test cost 1900$ unless you have any type of PPO insurance, in which it costs 235$., For pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex. Method Name. Cell-free DNA is isolated from the sample and analyzed using massively parallel sequencing technology., Mosaicism Ratio allows clinicians to provide customized counseling for patients with positive results for trisomy 21, 18, and 13 in singleton pregnancies. The lower the mosaicism ratio, the greater the chance for a discordant result from diagnostic testing. MaterniT 21 PLUS with Mosaicism Ratio identifies when a positive result is more likely ..., This test can only be ordered if MaterniT21 PLUS has been previously performed. The following information must be provided with the test request form: patient's date of birth, gestational age, and additional patient demographic information: pregnancy type (singleton), donor egg status and the clinical indications (including advanced maternal age, abnormal ultrasound, history suggestive of ...