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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Utah 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?

$3,467

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $3,467 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 6 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$3,467$3,467 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,467$1,905 to $3,467

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,585 to $3,467Professionalmedian $3,467 · 10th to 90th $3,467 to $4,169
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,467professional $3,467

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
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$4,365.16
Typical High
$4,786.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$2,344.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$5,248.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,801.89
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69

Where Utah sits

The same service costs 3.3 times more in Alaska than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $3,467 · 30th of 51
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.