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Indium In-111 Capromab Pendetide, Diagnostic

Idaho rates for HCPCS A9507

Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries

Rates data updated October 2026.

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

$3,802

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $4,467 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,512$1,288 to $4,571
FacilityA hospital or hospital-owned outpatient department$4,467$2,138 to $6,761

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,288 to $7,586Professionalmedian $2,512 · 10th to 90th $832 to $5,248
$50$200$1K$5Kfacility $4,467professional $2,512

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
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,570.88
Typical High
$4,570.88
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$5,495.41
Typical High
$7,585.78
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$5,011.87
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,570.88
Typical High
$6,456.54
Moda Health
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,570.88
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$616.60
Typical High
$724.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$2,137.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$2,511.89
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,047.13
Select Health
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$8,511.38

Where Idaho sits

The same service costs 24.5 times more in West Virginia than in Kansas. 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.

Idaho· 42nd of 51

$3,802

WV $5,248KS $214

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.