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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Michigan rates for HCPCS A9542

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

Rates data updated July 2026.

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

$2,884

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $2,884 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,884$2,512 to $3,548
FacilityA hospital or hospital-owned outpatient department$2,884$1,380 to $4,169

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $7,244Professionalmedian $2,884 · 10th to 90th $794 to $4,169
$20.0$100.0$500.0$2.0K$10.0Kfacility $2,884professional $2,884

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,884.03
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,230.27
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,168.69
Typical High
$12,302.69
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,168.69
Typical High
$5,754.40
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,570.88

Where Michigan sits

The same service costs 3.3 times more in Alaska than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Michigan $2,884 · 47th of 51
AK $6,026CO $1,820

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.