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Indium In-111 Pentetreotide, Diagnostic

Alaska rates for HCPCS A9572

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

Rates data updated October 2026.

How much does Indium In-111 Pentetreotide, Diagnostic cost?

$9,333

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $9,333 for this service. The price depends on where it is billed: about $9,772 from a physician practice, and about $6,310 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,772$6,026 to $9,772
FacilityA hospital or hospital-owned outpatient department$6,310$6,310 to $8,913

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,995 to $9,333Professionalmedian $9,772 · 10th to 90th $3,981 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $6,310professional $9,772

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
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Moda Health
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$8,912.51
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$6,025.60
Typical High
$8,511.38
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$9,332.54
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Providence
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$8,912.51
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$3,981.07
Typical High
$8,511.38
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$5,888.44
Typical High
$10,715.19

Where Alaska sits

The same service costs 2.4 times more in Alaska than in Minnesota. 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.

Alaska· 1st of 51

$9,333

AK $9,333MN $3,890

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.