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Downloadable Forms

Here are the necessary forms to process our biomarker tests. 

SYNTap® Biomarker Test Specification Sheet

Download

SYNTap® Biomarker Test Performance Characteristics Summary

Download

SYNTap® Biomarker Test Requisition Form

Download

Advance Beneficiary Notice (Medicare Only)

Download

Advance Beneficiary Notice (Medicaid & Medicare)

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A pioneer in the science of detecting mis-folded proteins, Amprion advances the diagnosis of brain disorders. Our SYNTap™️ Biomarker Test aids physicians in diagnosing Parkinson’s, Lewy Body Dementia, and Alzheimer’s with Lewy Body variant. We plan to launch more biomarker tests in the future.

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Support
Clinical Lab
  • 10355 Science Center Drive, Suite 240 San Diego CA 92121
  • Info@AmprionDx.com
This website is intended for the informational purposes of healthcare professionals.
AMPRION & SYNTap are registered trademarks of Amprion Inc. © 2007-2023 Amprion Inc. All rights reserved.
SYNTap® Test
Performance Summary

Please enter your information to download the SYNTap Test Performance Summary

SYNTap Performance Summary

ATTENTION!!

Amprion has some important news we need to share with you!

To improve patient access to the SYNTap® biomarker test (CSF), Amprion is reducing the self-pay price for tests with service dates on or after July 1, 2023.

Old self-pay price: $1500.00. New self-pay price: $995.00

Effective July 1, 2023, there is a New ABN (Advanced Beneficiary Notification) form for use when ordering the SYNTap® biomarker test (CSF) for patients on Medicare. Order Process

CPT/PLA – The SYNTap® test has been issued a dedicated PLA code to be used when billing: 0393U
 
We have applied to be a medicare provider and will soon be able to courtesy bill Medicare for your patients.