What is GEM ExTra?

GEM ExTra is a test that detects gene-based changes (variants) that can effect your cancer. Your doctor will send a tube of blood or saliva (depending on your tumor type) and a tumor specimen for analysis. The tumor specimen may come from surgery, or it may be a small sample collected specifically for testing purposes (known as a biopsy).

Why do you need tumor and a blood/saliva sample?

GEM ExTra compares the DNA from your tumor to the DNA in your blood or saliva (“normal”) in order to subtract out (exclude) hereditary variations, leaving only the variants identified in your tumor. This leaves us with the most specific genomic picture of your tumor.

How can the GEM ExTra help my treatment?

GEM ExTra matches gene variants found in your tumor with FDA-approved therapies that are known to act on those genes. This gives your physician treatment options that will specifically target the cancer and not the surrounding normal tissue. The report also provides your physician with potential clinical trials that you may be eligible for based on the variants found in your tumor.

How likely is it that the GEM ExTra will uncover treatment or clinical trial options for my cancer?

Testing reveals variants that match to therapeutic and/or clinical trial options in 90% of cases, with greater than 25% of treatment options being FDA approved drugs.

Will my physician receive any information on my hereditary alterations found in my blood sample?

No hereditary information will be reported back to your physician. GEM ExTra is intended to address tumor-specific variants. However, in some cases, hereditary variants can play a role in your cancer and can be targets for therapy. The GEM ExTra retains those select variants for reporting to your oncologist.

How long does it take for my physician to get the results of my GEM ExTra?

Turnaround time for GEM ExTra is 14 days.

How can I get a copy of my GEM ExTra report?

Contact us at [email protected] or call us toll-free at 1-844-539-3309.

Will my insurance cover the cost of the GEM ExTra?

Ashion recognizes that the cost for cancer-related care can be quite significant. Ashion strives to ensure that financial issues do not prevent patients from seeking or receiving medically necessary care. The cost of GEM ExTra may be covered through insurance. If the test is not covered by your insurance, or if you are un-insured/ under-insured, please contact customer support at 1-844-539-3309 for payment options. Please see table below for current payment options.


Payer Policy
Commercial Insurance Ashion will bill commercial insurance payers. Please be sure to send us complete insurance information, including a copy of the front and back of your insurance card. See Patient Responsibility section below for more information.
International Billing Ashion requires a signed Advance Beneficiary Notice (ABN) for self-pay patients. Payment by check, credit card, or wire transfer is required at the time of sample submission. If patient is paying by money order or check. 100% of the fee is due at the time of sample submission for all self-pay patients.
Government Providers Ashion will bill Medicare, Medicaid, TriCare or other government-funded replacement plan providers. Please be sure to send us complete insurance information, including a copy of the front and back of your insurance card. See Patient Responsibility section below for more information.
Institutional Billing Ashion can bill a referring institution directly if an Institutional Account with Ashion has been established. If you would like to enquire about setting up an institutional contract with Ashion, please feel free to contact our billing/accounts department by e-mail at [email protected] or phone, 1-844-539-3309, option 3.


Patient Responsibility
Patients are financially responsible for any deductibles, co-payments, and/or co-insurance deemed the patient’s responsibility in accordance with federal and state regulations and the patient’s individual insurance plan. Individuals with the financial means to pay for Ashion services are expected to do so in accordance with state and federal law.


Billing Compliance and Privacy
All patient information is used by Ashion in a legal and HIPAA-compliant manner. We do not release test results to outside institutions, unless you specifically authorize it. For information about our patient privacy policies, please see our Notice of Privacy Practices. If you would like more information about our services, please contact us.

How do I order a GEM ExTra test?

GEM ExTra requires physician authorization. Please have your physician contact us at 1-844-539-3309.