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Tumor Cell Drug Response Test, First Drug

Maine 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$3,7150%50%90th$575Professionalmedian $468 · 10th–90th $347$7080%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
$575.44
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,715.35
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$724.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$707.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$891.25