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Indium In-111 Satumomab Pendetide, Diagnostic

Georgia rates for HCPCS A4642

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

Rates data updated July 2026.

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

$1,445

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $1,380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$1,380 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,380$1,380 to $1,380

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,380 to $3,236Professionalmedian $1,479 · 10th to 90th $1,349 to $1,660
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $1,380professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,548.82
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,235.94
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,089.30

Where Georgia sits

The same service costs 34.7 times more in Montana than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $1,445 · 12th of 51
MT $2,630WY $75.86

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.