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Indium In-111 Pentetate, Diagnostic

Montana rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Rates data updated October 2026.

How much does Indium In-111 Pentetate, Diagnostic cost?

$263

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $309 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$191 to $331
FacilityA hospital or hospital-owned outpatient department$309$229 to $324

How much rates vary

Facilitymedian $309 · 10th to 90th $182 to $575Professionalmedian $263 · 10th to 90th $79 to $891
$100$200$500$1K$2Kfacility $309professional $263

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
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$323.59
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$912.01
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$269.15
Typical High
$338.84
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$204.17
Typical High
$331.13
Providence
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$323.59
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$251.19
Typical High
$295.12
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where Montana sits

The same service costs 5.5 times more in Alaska than in Montana. 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.

Montana· 51st of 51

$263

AK $1,445MT $263

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.