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Indium In-111 Labeled Autologous Platelets, Diagnostic

Utah rates for HCPCS A9571

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

Rates data updated July 2026.

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

$4,169

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $4,169 to $4,169.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $4,169 to $4,169Professionalmedian $4,169 · 10th to 90th $4,169 to $4,467
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $4,169professional $4,169

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$4,365.16
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,309.57
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,466.84
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69

Where Utah sits

The same service costs 4.2 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $4,169 · 37th of 51
AK $6,761MN $1,622

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.