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Indium In-111 Pentetreotide, Diagnostic

North Dakota rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $3,715 · 10th–90th $3,715$4,6770%50%90th$3,715Professionalmedian $3,890 · 10th–90th $3,090$4,5710%20%10th90th$3,890$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
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,073.80
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,786.30
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$38,904.51
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$8,511.38