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Tumor Cell Drug Response Test, First Drug

Georgia 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 $776 · 10th–90th $437$1,9500%10%10th90th$776Professionalmedian $457 · 10th–90th $234$6610%10%10th90th$457$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$389.05
Median
$891.25
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$660.69
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$831.76