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Indium In-111 Pentetreotide, Diagnostic

Louisiana rates for HCPCS A9572

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

Rates data updated July 2026.

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

$4,365

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $4,365 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,677$4,169 to $4,677
FacilityA hospital or hospital-owned outpatient department$4,365$4,365 to $4,467

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,995 to $4,677Professionalmedian $4,677 · 10th to 90th $3,890 to $4,677
$500$1K$2K$5Kfacility $4,365professional $4,677

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,786.30
Typical High
$7,943.28
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
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,677.35

Where Louisiana sits

The same service costs 4.9 times more in Montana 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.

Louisiana· 11th of 51

$4,365

MT $8,710MN $1,778

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.