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Tumor Cell Drug Response Test, First Drug

Iowa 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 $912 · 10th–90th $447$1,5490%10%10th90th$912Professionalmedian $501 · 10th–90th $380$1,2300%10%10th90th$501$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
$446.68
Median
$1,096.48
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,380.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,023.29
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$575.44