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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Iowa 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?

$4,467

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $4,467 for this service. Most negotiated rates run $4,169 to $6,166.

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.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $794 to $9,550Professionalmedian $4,467 · 10th to 90th $4,169 to $10,000
$1K$2K$5K$10K$20Kfacility $4,898professional $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
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$9,772.37
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$4,897.79
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$23,988.33
Midlands
Setting
Professional
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,570.88

Where Iowa 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.

Iowa· 7th of 51

$4,467

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.