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Indium In-111 Labeled Autologous Platelets, Diagnostic

Nebraska rates for HCPCS A9571

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

Rates data updated July 2026.

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

$4,074

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $1,047 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$4,074 to $4,169
FacilityA hospital or hospital-owned outpatient department$1,047$479 to $5,888

How much rates vary

Facilitymedian $1,047 · 10th to 90th $389 to $8,128Professionalmedian $4,074 · 10th to 90th $3,981 to $6,457
$500$1K$2K$5K$10Kfacility $1,047professional $4,074

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,890.45
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,165.95
Typical High
$10,471.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$19,054.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,456.54
Typical High
$10,471.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,943.28
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$5,011.87

Where Nebraska sits

The same service costs 4.2 times more in Alaska than in Minnesota. 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.

Nebraska· 49th of 51

$4,074

AK $6,761MN $1,622

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.