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Indium In-111 Pentetreotide, Diagnostic

Nebraska rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $1,995 · 10th–90th $407$7,4130%10%20%10th90th$1,995Professionalmedian $3,890 · 10th–90th $3,715$9,7720%50%10th90th$3,890$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,677.35
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,888.44
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$15,848.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,715.35
Typical High
$35,481.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$15,848.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$15,848.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$4,677.35