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Tumor Cell Drug Response Test, First Drug

Connecticut 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 $832 · 10th–90th $575$1,6220%20%10th90th$832Professionalmedian $407 · 10th–90th $263$6920%20%10th90th$407$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
$831.76
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$977.24
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$1,023.29