Presses about 75 cents per member per month that's less than half 1percent of total medical spending so it's these are modest cost now say that that number changes as a function what you included in the cost to the test are you including a the pathologist costs for example the EM charges center so that can change Neurocell  on but still it's a relatively modest amount about a third of that Costco's to cancer diagnostics a third to reproductive genetics in about a third to others which we include infectious disease within but importantly are trends in theca’s genetic tests rise by about 11 percent per year so it is important and doctor for people point out that even though the total spend a small these tests are said to influence somewhere between 50 and 60 percent a medical decision so it's important to get it right what we see be on the rise in the.

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