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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 October 2026.

How much does Indium In-111 Ibritumomab Tiuxetan, Diagnostic cost?

$4,786

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $5,888 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,169$3,548 to $7,079
FacilityA hospital or hospital-owned outpatient department$5,888$4,571 to $8,318

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,236 to $14,125Professionalmedian $4,169 · 10th to 90th $3,548 to $23,988
$100$500$2K$10Kfacility $5,888professional $4,169

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
$5,128.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$4,570.88
Typical High
$14,791.08
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,918.31
Typical High
$23,988.33
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$10,000.00
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$6,309.57
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,265.80
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$5,888.44
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$6,025.60
Typical High
$8,317.64
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$7,079.46
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$4,570.88
Typical High
$14,791.08
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,918.31
Typical High
$23,988.33
United
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$7,079.46
Well Sense
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$4,570.88
Typical High
$6,456.54
Well Sense
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,890.45
Typical High
$3,890.45

Where Massachusetts 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.

Massachusetts· 5th of 51

$4,786

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.