go back

Maine rates for HCPCS 81536

Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug combination (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,148.15 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $190.55 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $190.55 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $213.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $288.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $275.42