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Indium In-111 Pentetreotide, Diagnostic

Indiana rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $5,754 · 10th–90th $2,884$7,7620%20%40%10th90th$5,754Professionalmedian $3,715 · 10th–90th $646$4,2660%50%10th90th$3,715$1.0K$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
$3,715.35
Median
$3,715.35
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,754.40
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$6,760.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,495.41
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,964.78
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,754.40