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Indium In-111 Ibritumomab Tiuxetan, Diagnostic

West Virginia 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?

$3,388

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $2,089 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 3 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$3,388$2,089 to $3,548
FacilityA hospital or hospital-owned outpatient department$2,089$2,089 to $2,089

How much rates vary

Facilitymedian $2,089 · 10th to 90th $2,089 to $4,365Professionalmedian $3,388 · 10th to 90th $2,089 to $4,169
$2.0K$5.0K$10.0K$20.0Kfacility $2,089professional $3,388

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
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$4,168.69

Where West Virginia 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.

West Virginia $3,388 · 34th 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.