go back

Indium In-111 Pentetreotide, Diagnostic

Hawaii rates for HCPCS A9572

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

Rates data updated July 2026.

Professionalmedian $3,890 · 10th–90th $3,890$5,4950%50%90th$3,890$5.0K

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
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$8,709.64
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,248.07
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,897.79
Typical High
$5,754.40