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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 July 2026.

Facilitymedian $3,162 · 10th–90th $427$6,3100%20%10th90th$3,162Professionalmedian $3,981 · 10th–90th $3,162$6,0260%20%10th90th$3,981$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,370.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,630.78
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,025.60
Typical High
$9,772.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$4,168.69
Typical High
$21,877.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$15,848.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,760.83
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$4,168.69