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Indium In-111 Pentetreotide, Diagnostic

Kentucky rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $3,715$9,7720%20%10th90th$4,571Professionalmedian $3,890 · 10th–90th $3,715$5,7540%50%10th90th$3,890$50.0$200.0$1.0K$5.0K$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
$3,715.35
Median
$3,715.35
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$5,754.40
Typical High
$5,754.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,762.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$20,892.96
Typical High
$20,892.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,897.79