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Indium In-111 Satumomab Pendetide, Diagnostic

Nebraska 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?

$1,514

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,349 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 6 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$1,514$1,349 to $2,291
FacilityA hospital or hospital-owned outpatient department$1,349$1,349 to $2,692

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,349 to $4,467Professionalmedian $1,514 · 10th to 90th $1,349 to $2,455
$1.0K$2.0K$5.0K$10.0Kfacility $1,349professional $1,514

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,479.11
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,995.26
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,570.40
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,754.23
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,659.59

Where Nebraska 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.

Nebraska $1,514 · 10th 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.