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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Massachusetts rates for HCPCS A9542

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

Rates data updated July 2026.

Facilitymedian $7,762 · 10th–90th $3,548$14,7910%5%10%10th90th$7,762Professionalmedian $3,548 · 10th–90th $3,548$6,3100%50%90th$3,548$100.0$500.0$2.0K$10.0K$50.0K

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
$3,548.13
Median
$3,548.13
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,248.07
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,786.30
Typical High
$15,848.93
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,772.37
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,309.57
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$5,888.44
Typical High
$8,709.64
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,165.95
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,754.40
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,786.30
Typical High
$15,848.93
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$4,466.84