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Indium In-111 Satumomab Pendetide, Diagnostic

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $427 to $1,445.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $977 · 10th to 90th $427 to $1,905Professionalmedian $1,413 · 10th to 90th $363 to $1,660
$500$1K$2Kfacility $977professional $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
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$851.14
Typical High
$977.24
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$426.58
Typical High
$741.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59

Where Rhode Island 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.

Rhode Island· 42nd 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.