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Tumor Cell Drug Response Test, First Drug

Indiana 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 $575 · 10th–90th $575$1,7380%20%40%90th$575Professionalmedian $468 · 10th–90th $234$5620%20%10th90th$468$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
$575.44
Median
$912.01
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$467.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$630.96