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Indium In-111 Labeled Autologous Platelets, Diagnostic

Pennsylvania rates for HCPCS A9571

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

Rates data updated July 2026.

Facilitymedian $5,495 · 10th–90th $4,266$26,3030%20%40%10th90th$5,495Professionalmedian $4,266 · 10th–90th $4,074$4,2660%50%10th$4,266$5.0K$10.0K$20.0K

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
$26,302.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$15,135.61
Typical High
$16,218.10
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
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,495.41
Typical High
$26,302.68
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$4,265.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,466.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,011.87