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Indium In-111 Capromab Pendetide, Diagnostic

Pennsylvania 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?

$4,467

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $5,012 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,467$4,467 to $5,012
FacilityA hospital or hospital-owned outpatient department$5,012$4,467 to $7,413

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,738 to $16,982Professionalmedian $4,467 · 10th to 90th $4,467 to $5,248
$1K$2K$5K$10K$20K$50Kfacility $5,012professional $4,467

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
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$5,011.87
Typical High
$7,585.78
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$7,413.10
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$4,466.84
Geisinger
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$5,248.07
Typical High
$9,120.11
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,244.36

Where Pennsylvania 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.

Pennsylvania· 14th of 51

$4,467

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.