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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 July 2026.

Facilitymedian $6,761 · 10th–90th $2,951$11,2200%20%10th90th$6,761Professionalmedian $2,951 · 10th–90th $2,512$4,1690%50%10th90th$2,951$0.1$0.5$5.0$50.0$500.0$5.0K

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
$2,691.53
Median
$10,471.29
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$8,511.38
Typical High
$23,988.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$34,673.69
Typical High
$34,673.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,168.69
Typical High
$5,370.32
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$2,754.23
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,168.69
Typical High
$10,964.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,715.35