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Indium In-111 Satumomab Pendetide, Diagnostic

Washington 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 $794$3,5480%20%10th90th$1,622Professionalmedian $1,413 · 10th–90th $1,349$2,0890%20%10th90th$1,413$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
$1,412.54
Median
$1,412.54
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,445.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,071.52
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,230.27
Typical High
$4,466.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,995.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,089.30
Typical High
$2,398.83