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Indium In-111 Satumomab Pendetide, Diagnostic

New Jersey 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?

$1,413

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $1,445 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,413$1,413 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,445$1,413 to $1,622

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,380 to $2,399Professionalmedian $1,413 · 10th to 90th $1,413 to $1,660
$2K$5Kfacility $1,445professional $1,413

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
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$691.83
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$275.42
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$208.93
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$138.04
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$6,456.54
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,862.09

Where New Jersey 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 Jersey· 45th of 51

$1,413

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.