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Tumor Cell Drug Response Test, First Drug

Minnesota 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 $1,072 · 10th–90th $575$3,8020%20%10th90th$1,072Professionalmedian $575 · 10th–90th $468$7410%20%40%10th90th$575$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
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,238.72
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,122.02
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$3,801.89
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$1,288.25