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Indium In-111 Satumomab Pendetide, Diagnostic

New Hampshire 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 New Hampshire, October 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $269 to $1,862.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,622 to $3,981Professionalmedian $1,660 · 10th to 90th $269 to $3,388
$500$1K$2K$5Kfacility $2,818professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$2,818.38
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$3,981.07
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,981.07

Where New Hampshire 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.

New Hampshire· 19th 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.