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Indium In-111 Labeled Autologous Platelets, Diagnostic

Indiana rates for HCPCS A9571

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

Rates data updated October 2026.

How much does Indium In-111 Labeled Autologous Platelets, Diagnostic cost?

$4,074

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $6,310 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$3,162$646 to $4,169
FacilityA hospital or hospital-owned outpatient department$6,310$4,571 to $8,511

How much rates vary

Facilitymedian $6,310 · 10th to 90th $2,512 to $11,749Professionalmedian $3,162 · 10th to 90th $646 to $5,012
$1K$2K$5K$10Kfacility $6,310professional $3,162

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
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$6,309.57
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$741.31
Typical High
$4,168.69
CareSource
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$11,748.98
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$11,748.98
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,290.87
Typical High
$6,760.83
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,548.13
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$8,511.38

Where Indiana sits

The same service costs 1.7 times more in Alaska than in Kentucky. 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.

Indiana· 48th of 51

$4,074

AK $6,761KY $4,074

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.