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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Georgia 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?

$3,802

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $2,951 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,802$3,548 to $3,981
FacilityA hospital or hospital-owned outpatient department$2,951$0.05 to $3,890

How much rates vary

Facilitymedian $2,951 · 10th to 90th $0 to $5,754Professionalmedian $3,802 · 10th to 90th $3,020 to $4,169
$0.1$1$10$100$1Kfacility $2,951professional $3,802

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
$2,951.21
Median
$2,951.21
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$3,019.95
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.05
Typical High
$0.05
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,801.89
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,981.07
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$6,309.57
Typical High
$12,589.25
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,623.41

Where Georgia 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.

Georgia· 21st of 51

$3,802

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.