go back

Indium In-111 Satumomab Pendetide, Diagnostic

Tennessee 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 Tennessee, October 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $1,445 to $1,820.

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 $1,778 · 10th to 90th $1,585 to $2,512Professionalmedian $1,445 · 10th to 90th $1,380 to $10,233
$2K$5K$10Kfacility $1,778professional $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
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$691.83
Median
$691.83
Typical High
$707.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$275.42
Median
$275.42
Typical High
$281.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$208.93
Median
$208.93
Typical High
$213.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$138.04
Median
$138.04
Typical High
$141.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$14,454.40
United
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,659.59
Typical High
$1,659.59

Where Tennessee 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.

Tennessee· 20th 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.