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Indium In-111 Satumomab Pendetide, Diagnostic

Alaska rates for HCPCS A4642

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

Rates data updated October 2026.

How much does Indium In-111 Satumomab Pendetide, Diagnostic cost?

$2,239

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $2,239 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,239$1,445 to $2,512
FacilityA hospital or hospital-owned outpatient department$2,239$2,239 to $3,236

How much rates vary

Facilitymedian $2,239 · 10th to 90th $2,239 to $3,236Professionalmedian $2,239 · 10th to 90th $1,445 to $4,571
$100$200$500$1K$2K$5Kfacility $2,239professional $2,239

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Moda Health
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,235.94
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,479.11
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,235.94
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,445.44
Typical High
$2,137.96
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,570.40
Typical High
$4,677.35

Where Alaska sits

The same service costs 33.1 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 1st of 51

$2,239

AK $2,239NY $67.61

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.