go back

Indium In-111 Satumomab Pendetide, Diagnostic

Wyoming 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?

$75.86

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $75.86 to $1,445.

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 $1,349 · 10th to 90th $1,349 to $1,349Professionalmedian $76 · 10th to 90th $76 to $1,660
$100$200$500$1Kfacility $1,349professional $76

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
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
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 Wyoming 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.

Wyoming· 50th of 51

$75.86

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.