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Indium In-111 Pentetreotide, Diagnostic

Connecticut rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $5,623 · 10th–90th $4,467$9,1200%20%10th90th$5,623Professionalmedian $3,981 · 10th–90th $3,236$3,9810%50%10th$3,981$2.0K$5.0K$10.0K

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
$4,786.30
Median
$4,786.30
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,981.07
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,025.60
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$4,897.79