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Indium In-111 Pentetreotide, Diagnostic

New Jersey rates for HCPCS A9572

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

Rates data updated October 2026.

How much does Indium In-111 Pentetreotide, Diagnostic cost?

$3,981

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $6,607 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,981$3,981 to $3,981
FacilityA hospital or hospital-owned outpatient department$6,607$3,981 to $14,454

How much rates vary

Facilitymedian $6,607 · 10th to 90th $3,890 to $16,982Professionalmedian $3,981 · 10th to 90th $3,890 to $3,981
$2K$5K$10K$20Kfacility $6,607professional $3,981

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,981.07
Typical High
$3,981.07
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$9,332.54
Typical High
$18,197.01
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,365.16

Where New Jersey sits

The same service costs 2.4 times more in Alaska 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.

New Jersey· 30th of 51

$3,981

AK $9,333MN $3,890

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.