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Tumor Cell Drug Response Test, First Drug

Alabama rates for HCPCS 81535

A laboratory test that keeps living cancer cells taken from a gynecologic tumor alive in culture and exposes them to a cancer drug to see how strongly the cells react. The reaction is reported as a score that helps the oncologist judge which drug is more likely to work against that particular tumor. This covers the first drug or drug combination tested.

Facilitymedian $661 · 10th–90th $513$8710%20%10th90th$661Professionalmedian $457 · 10th–90th $347$6920%10%20%10th90th$457$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$346.74