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New York 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)

Facilitymedian $309 · 10th–90th $158$5370%10%10th90th$309Professionalmedian $138 · 10th–90th $71$2690%10%10th90th$138$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $316.23 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $144.54 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $104.71 / $309.03
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $177.83 / $177.83
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $177.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $380.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $223.87 / $851.14
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $676.08
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $123.03 / $346.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $177.83 / $199.53
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $331.13 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $177.83 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $275.42
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $186.21 / $229.09
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $177.83 / $239.88