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Tumor Cell Drug Response Test, Added Drug

Montana rates for HCPCS 81536

Testing a further cancer drug or drug combination against the same living tumor cells already growing in the laboratory, to see how strongly they react to it. It is billed in addition to the first drug tested, once for each additional drug examined.

Facilitymedian $240 · 10th–90th $178$5370%20%10th90th$240Professionalmedian $174 · 10th–90th $123$6030%20%10th90th$174$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$257.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$537.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$537.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$177.83