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Indium In-111 Labeled Autologous Platelets, Diagnostic

Vermont 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 Vermont, October 2026.

Insurers have agreed to pay about $4,266 for this service. Most negotiated rates run $4,266 to $4,467.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $4,266 · 10th to 90th $4,169 to $8,913
$5K$10Kprofessional $4,266

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,466.84
Typical High
$12,589.25

Where Vermont 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.

Vermont· 16th 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.