Find out how members can save on lab costs

Members generally pay a lot more money out of pocket when Quest Diagnostics’ and their affiliates’ websites they have testing done at out-of-network labs. Quest Diagnostics, questdiagnostics.com To help save money, it’s best to use in-network labs. Below Associated Clinical Laboratories, associatedclinicallabs.com are some of the preferred labs. Diagnostic Laboratory of Oklahoma, dlolab.com Mid America Clinical Labs, maclonline.com Preferred labs Solstas, solstas.com Quest Diagnostics is our national preferred lab. Aetna Sonora Quest, sonoraquest.com members save when they use them. Quest Diagnostics and Med Fusion, medfusionservices.com their affiliates offer a wide range of testing services — from routine blood tests to ClearPoint Diagnostic Laboratories, clearpointlabs.com complex gene-based, cardiology and Cleveland HeartLab, Inc, clevelandheartlab.com molecular testing, including prescription drug monitoring. The following Quest Diagnostics affiliates Quest Diagnostics specialty labs are also preferred labs in our network: Athena Diagnostics, athenadiagnostics.com Berkeley HeartLab, Inc., bhlinc.com Quest Diagnostics Nichols Institute, nicholsinstitute.com AmeriPath, ameripath.com Dermpath Diagnostics, dermpathdiagnostics.com - Ackerman Academy - AmeriPath , Inc. - AmeriPath Cleveland, Inc. - AmeriPath Florida, LLC Cancer Neurology - AmeriPath Indianapolis, PC - AmeriPath , LLC - AmeriPath Pittsburgh, PC - AmeriPath SC, Inc. Cancer A Quest Diagnostics company - AmeriPath Tucson, Inc. - Colorado Pathology Consultants, PC - Dermatopathology of Wisconsin, SC - Diagnostic Pathology Services, PC Genetics and endocrinology Joint venture company in Arizona - Institute for Dermatopathology, PC - Kilpatrick Pathology, PA - NAPA 5.01(a) Corporation - Ocmulgee Medical Pathology Association, Inc. - St. Luke’s Pathology Associates, PA Joint venture company in Joint venture company in Oklahoma Erie,

Joint venture company in Indiana Mobile testing partner

aetna.com 83.03.805.1 U (3/18) Other in-network labs

Below is a list of our national participating labs. If you aren’t sure if a lab is in network, visit our online provider directory at aetna.com. You can access a complete list of all other in-network labs through the directory.

Accurate Diagnostic Labs, Inc Diatherix Laboratories, LLC Millennium Health, LLC adlabs.net diatherix.com millenniumhealth.com ACM Global Drugscan Miraca Life Sciences, Inc. ACMLab.com drugscan.com miracalifesciences.com ACM Medical Dynacare Northwest, Inc. (for members Myriad Genetics, Inc. ACMLab.com living in the states of Washington and myriad.com Acupath Laboratories, Inc. West Virginia only) Natera, Inc. acupath.com dynacare.com natera.com Aegis Sciences Corporation EGL Genetic Diagnostics, LLC Nationwide Laboratory Services, Inc. aegislabs.com geneticslab.emory.edu nationwidelab.com Agendia, Inc. Enzo Clinical Laboratory NeoGenomics Laboratories agendia.com enzoclinicallabs.com neogenomics.com Ambry Genetics Eurofins NTD Inc. New River Medical Group, LLC dba ambrygen.com ntdlabs.com Microbiology Associates Ariosa Diagnostics, Inc. Exact Sciences Laboratories LLC NXGen MDX ariosadx.com exactsciences.com nxgenmdx.com Ascend Clinical, LLC GeneDx PerkinElmer Laboratories, Inc. ascendclinical.com genedx.com ntdlabs.com Atlantic Diagnostic Laboratories Genomic Health, Inc. Poplar Healthcare dba GI Path adllab.net genomichealth.com poplarhealthcare.com Bako Pathology Services Genoptix — A Novartis Company Precision Diagnostics bakopathology.com genoptix.com precisiondxlab.com Baylor Miraca Genetics Good Start Genetics Professional Technicians Incorporated Laboratories, LLC goodstartgenetics.com ptimobilelab.com bmgl.com Harmonyx Diagnostics, Inc. ProPath Services, LLP BioReference Laboratories, Inc. (BRLI) harmonyxdiagnostics.com propath.com bioreference.com Informed Medical Decision, Inc. Reproductive Genetic Innovations — RGI Heart Diagnostics informeddna.com rgipgd.com bostonheartdiagnostics.com Interpace Diagnostics Corporation Sequenom Laboratories Bostwick Laboratories, Inc. interpacediagnostics.com laboratories.sequenom.com bostwicklaboratories.com Invitae Corporation SHC Reference Laboratory BRLI-GenPath Diagnostics invitae.com stanfordlab.com genpathdiagnostics.com Laboratory Corp of America (for Solstas Lab Partners Brookside Clinical Laboratory, Inc. members living in NC, NE and UT); (see Quest Diagnostics, page 1) brooksidelab.com access for members living in KS, MO solstas.com and VA may vary — please check the CareDx ® Sonic Healthcare USA, Inc. DocFind online provider directory by xdx.com sonichealthcare.com ZIP code to determine availability Carent Laboratory Solutions labcorp.com Spectra Laboratories carentlabs.com spectra-labs.com See affiliate list below: CBL Path, Inc. Centrex Clinical laboratories, Dianon, SpectraCell Laboratories, Inc. A Sonic Healthcare Company LabCorp United, Monogram spectracell.com cblpath.com BioSciences, National Genetics Strata Pathology Clinical Pathology Labs, Inc. Institute, ViroMed Laboratories, stratadx.com cpllabs.com Integrated Genetics/Integrated Sunrise Medical Laboratories Cockerell Dermatopathology, PA Oncology, MedTox Laboratories Inc sunriselab.com dermpath.com Lakewood Pathology Associates, Inc. Theranostix, Inc. CooperGenomics, Inc. dba Miraca Life Sciences, Inc. theranostix.com miracalifesciences.com coopergenomics.com Therapath LLC Counsyl, Inc. Mako Medical Laboratories, LLC therapath.com makomedical.com counsyl.com Transgenomic, Inc. DaVita Laboratory Services, Inc. Physicians Laboratory transgenomic.com manhattanlabs.com davita.com Tribal Diagnostics, LLC Dermatopathology of Central States Medical Diagnostic Laboratories, L.L.C. tribaldiagnostics.com mdlab.com dermpathlab.com Veracyte, Inc. Dermpath New , LLC Medical Neurogenetics, LLC veracyte.com dba DermDX New England medicalneurogenetics.com dermpathnewengland.com

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Out-of-network labs

Out-of-network labs can cause members to pay more out of The following table shows how much more members might pocket. Members should always be referred in network. pay when they use out-of-network labs1: It’s also not consistent with our policy to use of out-of-network laboratory services.

In-network lab In-network hospital lab Out-of-network lab

Cost of lab test $30 $60 $300

Member copay percent 20% 20% 40%

Member pays $6 $12 $120

Out-of-network labs include:

• Accu Reference Medical • ESA Toxicology LLC • Progenity, Inc. Laboratory, LLC • Health Diagnostic Laboratory • Rocky Toxicology • Advanced Clinical Laboratory • Hunter Laboratories • Singulex, Inc. Solutions, Inc. • LabCorp: See prior page for • Sky Toxicology • Alere Toxicology participating sites • SMA • Ameritox • LabWest, Inc. • Tandem Lab • ARL/Labsouth, Inc. • Lenco • True Health Diagnostics • Associated Clinical Laboratory • Logan Laboratories Solutions • United Medical Lab dba Infinity • Medical Arts Clinical Clinical Laboratories • Axis Diagnostics • Medical Laboratory Diagnostics, Inc. • United Toxicology LLC • Bio-Chem Technology Laboratory • Northwest Physicians Labs • U.S. Labs • Burlington Laboratories, Inc. • Orbit Labs LLC • West Coast Clinical Lab • CDX Diagnostics • Our Lab • Western Health Sciences • Center for Genetic Services Medical Laboratory • Pacific Physicians • Choice Laboratory Service, LLC • Pathology, Inc. • Dominion Diagnostics • Peach State Medical Labs • EMES Professional Associates, PCEmpire City Laboratories • Physicians Reference Laboratory

1A etna Strategic Contract Manager, 2012. Based on a patient whose deductible has already been met. Data is not representative of hospitals that have a separately negotiated laboratory agreement. BRCA: cancer risk and genetic testing

We’ve expanded our network of high-quality BRCA providers GeneDx, Genpath, BioReference offering testing for members. For services we cover in our Submit completed form and blood samples to GeneDx. You Clinical Policy Bulletin #0227 (CPB), all BRCA testing must may order collection and transportation kits from GeneDx be precertified. You can contact one of the participating at 1-888-729-1206 or at genedx.com/oncology. BRCA providers for your needs, or providers can contact one of them. Myriad Genetics, Inc.

Quest Diagnostics, Inc. Submit completed form to Myriad Genetics, Inc. with the completed specimen collection kit, or fax to Include completed form with your Quest Diagnostics 801-584-3615. For questions, call 1-800-469-7423. or affiliate lab requisition and blood sample, or fax to 1-855-422-5181. You can call BRCAvantage Medical Diagnostic Laboratories, L.L.C. Concierge Services at 1-866-436-3463, or visit brcavantage.com for more information. Submit the preauthorization form by fax to 609-570-1062. For questions or more information, Ambry Genetics call 1-877-269-0090 or visit mdlab.com. Submit completed form with specimen sample to Counsyl, Inc. Ambry Genetics, or fax to 949-900-5501. Include the completed form and BRCA requisition with the You may order collection and transportation kits from sample. For more information, call 1-888-COUNSYL Ambry Genetics by calling 1-866-262-7943 or by visiting (1-888-268-6795), email [email protected] or visit ambrygen.com. counsyl.com.

Dynacare Northwest, Inc. (for members Invitae living in the states of Washington and West Virginia only) Submit completed form with the specimen sample to Invitae, or fax completed form to 415-276-4164. You may order Submit the precertification form with specimen sample to Invitae sample collection and transportation kits by calling Dynacare Northwest, Inc. For questions about BRCA testing, 1-800-436-3037, emailing [email protected] or call 1-877-415-0002. visiting invitae.com/en/request-a-kit.

Baylor Miraca Genetics Laboratories, LLC Laboratory Corporation of America Fax precertification form to 713-798-2728. To order Laboratory Corp of America (for members living in NC, NE, collection and transportation, call Customer Service at UT, KS, MO and VA) 1-800-411-GENE or 713-798-6555 or visit bmgl.com. Fax the precertification form to 1-855-711-5699. For questions, contact 1-855-488-8750 or send an email to [email protected].

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