go back

Tumor Cell Drug Response Test, First Drug

New Jersey 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 $977 · 10th–90th $661$4,6770%20%10th90th$977Professionalmedian $468 · 10th–90th $309$7760%20%10th90th$468$100.0$500.0$2.0K$10.0K

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
$741.31
Median
$776.25
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$338.84
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$575.44