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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Pennsylvania 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?

$3,162

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $6,026 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 8 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$2,951$2,512 to $3,548
FacilityA hospital or hospital-owned outpatient department$6,026$2,754 to $12,882

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,344 to $15,849Professionalmedian $2,951 · 10th to 90th $2,344 to $3,802
$2K$5K$10K$20K$50Kfacility $6,026professional $2,951

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
$2,344.23
Median
$3,235.94
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,511.89
Typical High
$3,548.13
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$12,302.69
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$2,951.21
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$14,454.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,511.89
Typical High
$6,025.60
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$12,882.50
Typical High
$21,379.62
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$5,011.87

Where Pennsylvania sits

The same service costs 3.3 times more in Alaska than in Colorado. 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.

Pennsylvania· 37th of 51

$3,162

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.