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Indium In-111 Pentetreotide, Diagnostic

Kansas rates for HCPCS A9572

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

Rates data updated October 2026.

How much does Indium In-111 Pentetreotide, Diagnostic cost?

$3,890

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $5,495 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,890$3,890 to $4,677
FacilityA hospital or hospital-owned outpatient department$5,495$4,571 to $6,607

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,995 to $6,761Professionalmedian $3,890 · 10th to 90th $3,890 to $38,905
$2K$5K$10K$20Kfacility $5,495professional $3,890

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$6,606.93
Typical High
$6,760.83
Medica
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$38,904.51
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,570.88

Where Kansas sits

The same service costs 2.4 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kansas· 49th of 51

$3,890

AK $9,333MN $3,890

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.