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Indium In-111 Labeled Autologous Platelets, Diagnostic

New Hampshire rates for HCPCS A9571

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

Rates data updated July 2026.

Facilitymedian $6,607 · 10th–90th $4,266$15,4880%10%20%10th90th$6,607Professionalmedian $4,266 · 10th–90th $4,266$7,4130%50%90th$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,128.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,709.64
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,265.80
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$8,511.38
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,265.80