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Indium In-111 Labeled Autologous Platelets, Diagnostic

Ohio 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 Ohio, October 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 $9,333 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$2,291 to $4,266
FacilityA hospital or hospital-owned outpatient department$9,333$8,913 to $12,303

How much rates vary

Facilitymedian $9,333 · 10th to 90th $4,571 to $27,542Professionalmedian $4,074 · 10th to 90th $2,291 to $5,370
$200$500$1K$2K$5K$10K$20Kfacility $9,333professional $4,074

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
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$9,772.37
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$4,570.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,011.87
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$12,302.69
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$158.49
Typical High
$223.87
SummaCare
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$5,495.41
Typical High
$8,912.51
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,309.57

Where Ohio 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.

Ohio· 49th 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.