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Indium In-111 Labeled Autologous Platelets, Diagnostic

Illinois rates for HCPCS A9571

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

Rates data updated July 2026.

Facilitymedian $5,248 · 10th–90th $4,074$37,1540%20%40%10th90th$5,248Professionalmedian $4,074 · 10th–90th $4,074$4,3650%50%90th$4,074$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$4,073.80
Median
$4,073.80
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$33,884.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$7,943.28
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$6,309.57
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,570.88