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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Oregon 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?

$3,981

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $3,981 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,631$3,548 to $4,169
FacilityA hospital or hospital-owned outpatient department$3,981$3,981 to $5,129

How much rates vary

Facilitymedian $3,981 · 10th to 90th $3,631 to $8,318Professionalmedian $3,631 · 10th to 90th $3,388 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $3,981professional $3,631

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
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,548.13
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$10,471.29
Typical High
$12,022.64
Moda Health
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$5,128.61
Moda Health
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$8,317.64
Providence
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$5,011.87
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,548.13
Typical High
$12,022.64
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,288.25
Typical High
$1,548.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,011.87

Where Oregon 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.

Oregon· 19th of 51

$3,981

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.