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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 October 2026.

How much does Indium In-111 Satumomab Pendetide, Diagnostic cost?

$1,622

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,622 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$1,445 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,622$1,622 to $1,995

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,622 to $3,020Professionalmedian $1,445 · 10th to 90th $1,380 to $4,266
$100$200$500$1K$2K$5Kfacility $1,622professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$4,265.80
Typical High
$4,897.79
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$1,995.26
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$3,019.95
Providence
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$2,754.23
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$1,445.44
Typical High
$4,897.79
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,995.26

Where Oregon 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.

Oregon· 22nd of 51

$1,622

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.