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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

California rates for HCPCS A9542

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

Rates data updated July 2026.

Facilitymedian $4,169 · 10th–90th $0$17,3780%20%10th90th$4,169Professionalmedian $3,548 · 10th–90th $2,089$6,0260%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
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$16,595.87
Typical High
$34,673.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$3,801.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$3,801.89
Typical High
$5,495.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$6,760.83
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,918.31
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$34,673.69
Typical High
$34,673.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,168.69
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,570.88
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$8,317.64