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Indium In-111 Labeled Autologous Platelets, Diagnostic

New Jersey rates for HCPCS A9571

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

Rates data updated July 2026.

Facilitymedian $6,918 · 10th–90th $4,266$14,7910%20%10th90th$6,918Professionalmedian $4,266 · 10th–90th $4,074$4,2660%50%10th$4,266$100.0$500.0$2.0K$10.0K$50.0K

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
$6,918.31
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$10,471.29
Typical High
$15,488.17
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$4,365.16