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Indium In-111 Satumomab Pendetide, Diagnostic

Florida rates for HCPCS A4642

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

Rates data updated July 2026.

Facilitymedian $1,380 · 10th–90th $1,349$2,1380%50%10th90th$1,380Professionalmedian $1,380 · 10th–90th $1,349$1,6600%50%10th90th$1,380$50.0$200.0$1.0K$5.0K$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
$1,380.38
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,412.54
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,137.96
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$812.83
Typical High
$812.83
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,778.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15