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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Texas 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?

$3,548

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $4,898 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$3,548$3,548 to $4,169
FacilityA hospital or hospital-owned outpatient department$4,898$3,548 to $10,965

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,951 to $11,220Professionalmedian $3,548 · 10th to 90th $2,951 to $23,988
$5K$10K$20Kfacility $4,898professional $3,548

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
$2,951.21
Median
$2,951.21
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$8,317.64
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$35,481.34
Moda Health
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$4,168.69
Typical High
$11,220.18
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$2,951.21
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$4,897.79
Typical High
$30,199.52
Providence
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,265.80
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13

Where Texas 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.

Texas· 33rd of 51

$3,548

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.