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Tumor Cell Drug Response Test, First Drug

New Mexico 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 $380$1,9050%20%40%10th90th$1,738Professionalmedian $562 · 10th–90th $251$8320%20%10th90th$562$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
$870.96
Median
$1,862.09
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$660.69
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$549.54
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$602.56
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$346.74