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Indium In-111 Satumomab Pendetide, Diagnostic

North Carolina rates for HCPCS A4642

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

Rates data updated July 2026.

Facilitymedian $1,413 · 10th–90th $1,413$2,7540%50%90th$1,413Professionalmedian $1,413 · 10th–90th $1,175$1,5490%50%10th90th$1,413$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
$1,412.54
Median
$1,412.54
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,754.23
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,659.59
Typical High
$1,995.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$14,125.38