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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.

Facilitymedian $3,890 · 10th–90th $1,995$7,4130%20%10th90th$3,890Professionalmedian $3,715 · 10th–90th $3,467$4,6770%20%40%10th90th$3,715$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$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