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Indium In-111 Pentetreotide, Diagnostic

Missouri 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?

$3,715

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $3,890 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 5 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$3,715$3,715 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,890$2,089 to $7,079

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,995 to $7,413Professionalmedian $3,715 · 10th to 90th $3,467 to $4,677
$2K$5K$10K$20Kfacility $3,890professional $3,715

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
$3,715.35
Median
$3,715.35
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,466.84
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,456.54
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$5,495.41
Typical High
$35,481.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,890.45
Typical High
$4,677.35

Where Missouri 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.

Missouri· 48th of 51

$3,715

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.