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Indium In-111 Satumomab Pendetide, Diagnostic

Oregon rates for HCPCS A4642

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

Rates data updated July 2026.

Facilitymedian $1,622 · 10th–90th $1,622$1,6980%50%90th$1,622Professionalmedian $1,445 · 10th–90th $1,380$1,6600%20%40%10th90th$1,445$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
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$4,265.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$2,187.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$2,754.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,445.44
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,995.26