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Indium In-111 Labeled Autologous Platelets, Diagnostic

Oregon rates for HCPCS A9571

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

Rates data updated July 2026.

Facilitymedian $4,786 · 10th–90th $4,786$5,4950%50%90th$4,786Professionalmedian $4,266 · 10th–90th $4,169$5,7540%50%10th90th$4,266$100.0$200.0$500.0$1.0K$2.0K$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
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
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
$9,332.54
Median
$11,220.18
Typical High
$12,302.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$6,606.93
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,011.87
Typical High
$10,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$4,265.80
Typical High
$8,317.64
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,786.30