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Indium In-111 Labeled Autologous Platelets, Diagnostic

Maryland rates for HCPCS A9571

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

Rates data updated July 2026.

Facilitymedian $4,786 · 10th–90th $4,169$5,0120%20%10th90th$4,786Professionalmedian $4,266 · 10th–90th $4,074$5,2480%50%10th90th$4,266$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$8,511.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,786.30
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,011.87