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Indium In-111 Satumomab Pendetide, Diagnostic

Ohio 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?

$1,413

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $3,162 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 7 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$1,349$1,349 to $1,585
FacilityA hospital or hospital-owned outpatient department$3,162$1,950 to $3,715

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,349 to $3,715Professionalmedian $1,349 · 10th to 90th $1,000 to $1,660
$0.1$1$10$100$1Kfacility $3,162professional $1,349

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. 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
$3,162.28
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,548.13
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,548.13
Typical High
$4,365.16
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,819.70

Where Ohio sits

The same service costs 34.7 times more in Montana than in Wyoming. 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.

Ohio· 18th of 51

$1,413

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.