go back

Virginia 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
$133.16 / $337.01 / $546.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $147.37 / $150.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.56 / $177.56 / $864.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.02 / $71.02 / $107.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.67 / $777.41 / $1,163.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.74 / $439.48 / $909.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.90 / $107.68 / $204.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $221.95 / $262.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.78 / $88.78 / $177.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.96 / $110.96 / $372.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.29 / $206.47 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.29 / $206.47 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $88.78 / $177.56