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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Nebraska 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?

$4,169

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $575 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,169$4,169 to $4,898
FacilityA hospital or hospital-owned outpatient department$575$479 to $1,047

How much rates vary

Facilitymedian $575 · 10th to 90th $398 to $6,026Professionalmedian $4,169 · 10th to 90th $3,981 to $9,772
$500$1K$2K$5K$10K$20Kfacility $575professional $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
$3,630.78
Median
$3,630.78
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$524.81
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$6,165.95
Typical High
$9,772.37
Medica
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$4,168.69
Typical High
$21,877.62
Medica
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$9,332.54
Typical High
$10,232.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$10,232.93
United
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$4,168.69

Where Nebraska 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.

Nebraska· 10th of 51

$4,169

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.