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Indium In-111 Satumomab Pendetide, Diagnostic

Illinois 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?

$1,445

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $2,692 from a hospital or other facility.

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$1,445$1,349 to $1,660
FacilityA hospital or hospital-owned outpatient department$2,692$1,950 to $2,884

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,349 to $3,467Professionalmedian $1,445 · 10th to 90th $1,349 to $1,698
$50$100$200$500$1K$2K$5Kfacility $2,692professional $1,445

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$676.08
Median
$676.08
Typical High
$691.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$269.15
Median
$269.15
Typical High
$275.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$199.53
Median
$199.53
Typical High
$204.17
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$134.90
Median
$134.90
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$2,884.03
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Hally Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$199.53
Typical High
$1,737.80
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,778.28

Where Illinois 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.

Illinois· 36th of 51

$1,445

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.