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Tumor Cell Drug Response Test, First Drug

New Hampshire 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 $1,738 · 10th–90th $933$3,6310%10%10th90th$1,738Professionalmedian $468 · 10th–90th $234$1,0960%10%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
$812.83
Median
$1,479.11
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$446.68
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,187.76
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$602.56
Typical High
$1,659.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$1,949.84