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Indium In-111 Satumomab Pendetide, Diagnostic

Nationwide rates for HCPCS A4642

Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 mCi

Rates data updated July 2026.

Facilitymedian $1,660 · 10th–90th $1,349$5,0120%20%10th90th$1,660Professionalmedian $1,380 · 10th–90th $661$1,9050%50%10th90th$1,380$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$269.15
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,754.23
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$1,659.59
Typical High
$3,467.37