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Indium In-111 Labeled Autologous Platelets, Diagnostic

West Virginia rates for HCPCS A9571

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

Rates data updated July 2026.

Facilitymedian $4,266 · 10th–90th $4,266$4,7860%50%90th$4,266Professionalmedian $4,266 · 10th–90th $4,169$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,786.30
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,011.87