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Indium In-111 Satumomab Pendetide, Diagnostic

Minnesota rates for HCPCS A4642

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

Rates data updated July 2026.

Facilitymedian $3,162 · 10th–90th $1,660$6,9180%20%10th90th$3,162Professionalmedian $832 · 10th–90th $692$1,4130%20%40%10th90th$832$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,467.37
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,235.94
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,348.96
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$6,918.31
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,090.30