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Indium In-111 Pentetreotide, Diagnostic

Nationwide rates for HCPCS A9572

Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 mCi

Rates data updated July 2026.

Facilitymedian $4,898 · 10th–90th $2,630$15,1360%20%10th90th$4,898Professionalmedian $3,981 · 10th–90th $3,236$5,7540%20%40%10th90th$3,981$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$3,715.35
Median
$4,677.35
Typical High
$19,054.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$6,606.93
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,754.40