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Tumor Cell Drug Response Test, First Drug

Florida 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 $1,288 · 10th–90th $407$2,8840%10%10th90th$1,288Professionalmedian $407 · 10th–90th $347$6610%20%40%10th90th$407$5.0$20.0$100.0$500.0$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
$416.87
Median
$1,380.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$660.69
AvMed
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$676.08
AvMed
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$512.86
Typical High
$1,047.13
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$275.42
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$575.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$575.44