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Indium In-111 Pentetreotide, Diagnostic

Arizona 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?

$3,981

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $6,918 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,890$3,890 to $3,981
FacilityA hospital or hospital-owned outpatient department$6,918$4,898 to $9,333

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,188 to $12,589Professionalmedian $3,890 · 10th to 90th $3,802 to $38,905
$2K$5K$10K$20Kfacility $6,918professional $3,890

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$8,317.64
Typical High
$12,589.25
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$6,918.31
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$4,168.69
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$38,904.51
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,168.69

Where Arizona 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.

Arizona· 35th of 51

$3,981

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.