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Indium In-111 Satumomab Pendetide, Diagnostic

Pennsylvania 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 Pennsylvania, July 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 $3,715 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$1,413$1,413 to $1,413
FacilityA hospital or hospital-owned outpatient department$3,715$1,413 to $5,012

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,413 to $6,026Professionalmedian $1,413 · 10th to 90th $1,349 to $1,660
$10.0$100.0$1.0K$10.0Kfacility $3,715professional $1,413

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
$1,412.54
Median
$1,819.70
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$1,412.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.01
Typical High
$5.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$5,011.87
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$3,715.35
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$3,467.37
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,466.84
Typical High
$6,918.31
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,089.30

Where Pennsylvania sits

The same service costs 34.7 times more in Montana than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $1,413 · 22nd of 51
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.