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Tumor Cell Drug Response Test, First Drug

Michigan 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 $550 · 10th–90th $550$1,0000%50%90th$550Professionalmedian $490 · 10th–90th $389$6920%20%10th90th$490$100.0$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
$549.54
Median
$549.54
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$831.76
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,000.00
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$741.31
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$489.78