What is GEM ExTra?

GEM ExTra® is a test that can detect damage to any gene in a cancer sample all at once. Your doctor will send a tube of blood 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). A blood sample will also be collected and sent to the lab for testing at the same time as the tumor.

Why do you need both a tissue and blood sample?

The GEM ExTra® compares the DNA from your tumor to the DNA in your blood (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?

The 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 with either FDA approved drug matches greater than 25% of the time, and therapeutic or clinical trial options in approximately 90% of our cases.

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. The 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 the 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 the GEM ExTra® may be covered through insurance. If the test is not covered by your insurance, or if you are un-insured/underinsured, 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 courtesy bill commercial insurance payers. Please be sure to send us complete insurance information, including a copy of the front and back of the insurance card. See Patient Responsibility section below for more information.
International Billing Samples from outside the United States must be accompanied by full payment at the time of sample submission. This can be accomplished by wire transfer, check, or credit card. To obtain information for wire transfer, please contact Ashion by e-mail at [email protected] or phone, 1-844-539-3309.
Medicare / Medicaid / TriCare Ashion accepts Medicare, Medicaid, TriCare, and other government funded insurance. We will file a claim on the patient’s behalf and any subsequent appeals.
Institutional Billing Ashion can bill a referring institution directly if an Institutional Account with Ashion has been established. If you would like to inquire 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. As a condition of your testing by Ashion, financial responsibility must be determined in advance. 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.