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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Indiana 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?

$3,236

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $0.02 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$3,467$2,239 to $4,169
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $3,236

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $9,550Professionalmedian $3,467 · 10th to 90th $2,239 to $6,918
$0.1$1$10$100$1K$10Kfacility $0professional $3,467

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
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,235.94
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,511.89
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$9,549.93
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$9,332.54
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$8,317.64

Where Indiana 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.

Indiana· 51st of 51

$3,236

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.