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California rates for HCPCS A9542

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

Facilitymedian $4,169 · 10th–90th $0–$19,0550%20%10th90th$4,169Professionalmedian $3,548 · 10th–90th $2,399–$5,8880%50%10th90th$3,548$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $17,378.01 / $33,884.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,467.37 / $4,168.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $3,801.89 / $4,265.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $6,760.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,570.88 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,918.31 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,981.07 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $23,988.33
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,988.33 / $34,673.69 / $34,673.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,168.69 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,570.88 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $13,489.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,168.69 / $8,317.64