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Tumor Cell Drug Response Test, First Drug

Kentucky 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 $457$1,3800%20%10th90th$575Professionalmedian $468 · 10th–90th $263$5750%20%10th90th$468$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
$457.09
Median
$575.44
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$812.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$933.25
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$933.25
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$575.44
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$575.44