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Tumor Cell Drug Response Test, First Drug

Rhode Island 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 $1,288 · 10th–90th $661$2,6300%20%10th90th$1,288Professionalmedian $407 · 10th–90th $324$4370%50%10th90th$407$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
$691.83
Median
$1,288.25
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$851.14