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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.

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

$1,413

Typical negotiated rate. In Washington, 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 $1,622 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$1,349 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,622$1,413 to $3,388

How much rates vary

Facilitymedian $1,622 · 10th to 90th $794 to $3,548Professionalmedian $1,413 · 10th to 90th $1,349 to $2,089
$100$200$500$1K$2K$5Kfacility $1,622professional $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
$1,412.54
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

Where Washington sits

The same service costs 34.7 times more in Montana than in Wyoming. 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.

Washington· 24th of 51

$1,413

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.