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Indium In-111 Labeled Autologous Platelets, Diagnostic

Hawaii rates for HCPCS A9571

Indium In-111 labeled autologous platelets, diagnostic, per study dose

Rates data updated July 2026.

Professionalmedian $4,169 · 10th–90th $4,169$5,7540%50%90th$4,169$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$6,456.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,754.40
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,168.69
Typical High
$6,309.57