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Tumor Cell Drug Response Test, First Drug

Massachusetts 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 $1,148 · 10th–90th $427$1,8620%10%10th90th$1,148Professionalmedian $562 · 10th–90th $347$9770%20%10th90th$562$100.0$500.0$2.0K$10.0K$50.0K

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
$407.38
Median
$1,318.26
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$676.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$2,754.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$707.95
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$660.69
Typical High
$1,513.56
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$2,951.21
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,318.26
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$2,754.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$575.44
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$467.74
Typical High
$1,412.54