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Indium In-111 Pentetreotide, Diagnostic

Illinois rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $3,715 · 10th–90th $1,995$50,1190%20%10th90th$3,715Professionalmedian $3,890 · 10th–90th $3,715$5,7540%50%10th90th$3,890$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$3,715.35
Median
$3,715.35
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$25,703.96
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,413.10
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$6,165.95
Typical High
$7,585.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,677.35