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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 October 2026.

How much does Indium In-111 Labeled Autologous Platelets, Diagnostic cost?

$4,266

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $6,026 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,266$4,266 to $4,266
FacilityA hospital or hospital-owned outpatient department$6,026$4,266 to $15,488

How much rates vary

Facilitymedian $6,026 · 10th to 90th $4,266 to $16,596Professionalmedian $4,266 · 10th to 90th $4,169 to $4,467
$5K$10Kfacility $6,026professional $4,266

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
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$7,244.36
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,265.80
Typical High
$4,265.80
Geisinger
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$4,466.84
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,754.40

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$4,266

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.