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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

Washington rates for HCPCS A9542

Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 mCi

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $3,162$10,9650%10%20%10th90th$4,571Professionalmedian $3,981 · 10th–90th $2,951$7,0790%20%10th90th$3,981$50.0$200.0$1.0K$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
$3,162.28
Median
$3,162.28
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,162.28
Typical High
$3,630.78
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$3,981.07
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
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
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$9,332.54
Typical High
$11,748.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$9,332.54
Typical High
$11,748.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$4,365.16
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$3,981.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$9,549.93
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
$3,981.07
Median
$5,128.61
Typical High
$5,623.41