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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Alaska rates for HCPCS A9542

Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 mCi

Rates data updated October 2026.

How much does Indium In-111 Ibritumomab Tiuxetan, Diagnostic cost?

$6,026

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $6,026 from a physician practice, and about $4,365 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,026$4,365 to $6,026
FacilityA hospital or hospital-owned outpatient department$4,365$4,365 to $5,888

How much rates vary

Facilitymedian $4,365 · 10th to 90th $4,074 to $6,166Professionalmedian $6,026 · 10th to 90th $3,548 to $6,457
$100$200$500$1K$2K$5K$10Kfacility $4,365professional $6,026

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
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Moda Health
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$6,165.95
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$3,715.35
Typical High
$5,248.07
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Providence
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,888.44
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$3,548.13
Typical High
$5,248.07
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,456.54
Typical High
$11,748.98

Where Alaska sits

The same service costs 1.9 times more in Alaska than in Indiana. 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.

Alaska· 1st of 51

$6,026

AK $6,026IN $3,236

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.