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Indium In-111 Pentetreotide, Diagnostic

Massachusetts rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $12,023 · 10th–90th $3,981$22,9090%5%10%10th90th$12,023Professionalmedian $3,981 · 10th–90th $3,981$7,2440%50%90th$3,981$100.0$500.0$2.0K$10.0K$50.0K

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
$3,981.07
Median
$3,981.07
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$6,456.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$19,952.62
Typical High
$23,442.29
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$15,848.93
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,317.64
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$8,511.38
Typical High
$11,748.98
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$9,332.54
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$6,309.57
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$19,952.62
Typical High
$23,442.29
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$5,370.32