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Indium In-111 Pentetreotide, Diagnostic

Georgia rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $4,365 · 10th–90th $2,089$21,3800%20%10th90th$4,365Professionalmedian $4,169 · 10th–90th $3,890$4,6770%20%40%10th90th$4,169$1.0K$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$7,413.10
Typical High
$21,379.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,168.69
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,466.84
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$7,585.78
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,890.45
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,011.87