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Indium In-111 Satumomab Pendetide, Diagnostic

Maryland 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?

$1,660

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $1,445 to $1,660.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,660 · 10th to 90th $1,413 to $2,512
$2Kprofessional $1,660

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
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$3,090.30
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,511.89

Where Maryland 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.

Maryland· 10th of 51

$1,660

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.