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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 July 2026.

Facilitymedian $3,981 · 10th–90th $3,981$4,8980%50%90th$3,981Professionalmedian $3,631 · 10th–90th $3,467$5,0120%20%10th90th$3,631$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,630.78
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$9,772.37
Typical High
$10,471.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,801.89
Typical High
$5,623.41
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$8,511.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,548.13
Typical High
$6,918.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,513.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,786.30