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Pennsylvania 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
$143.82 / $482.82 / $742.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.53 / $143.82 / $733.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.27 / $796.37 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.50 / $138.50 / $138.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.41 / $258.17 / $588.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.24 / $200.46 / $265.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $104.76 / $240.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.82 / $482.82 / $742.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.74 / $145.60 / $733.32
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.41 / $274.88 / $588.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.04 / $200.46 / $255.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.56 / $177.56 / $195.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.25 / $177.56 / $195.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $106.54 / $301.85