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Indium In-111 Pentetreotide, Diagnostic

Minnesota rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $9,772 · 10th–90th $3,467$14,1250%10%20%10th90th$9,772Professionalmedian $1,778 · 10th–90th $1,445$4,4670%20%40%10th90th$1,778$1.0$5.0$20.0$100.0$500.0$2.0K$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
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$4,677.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,466.84
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$5,011.87
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,000.00
Typical High
$14,791.08
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,677.35
Typical High
$10,964.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$8,912.51
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
$3,981.07
Typical High
$8,912.51