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Tumor Cell Drug Response Test, First Drug

Wisconsin 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 $1,148 · 10th–90th $437$1,9950%10%20%10th90th$1,148Professionalmedian $479 · 10th–90th $234$1,7780%10%10th90th$479$100.0$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
$691.83
Median
$1,288.25
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$2,041.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,819.70
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,148.15
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$870.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$891.25
Network Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,621.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,348.96
Typical High
$1,905.46
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,754.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Security Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$1,230.27
Security Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$1,023.29
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$870.96