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Tumor Cell Drug Response Test, First Drug

Kansas 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 $1,000 · 10th–90th $398$1,7380%20%10th90th$1,000Professionalmedian $501 · 10th–90th $380$7240%10%20%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
$562.34
Median
$1,047.13
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,047.13
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$630.96
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$758.58