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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 July 2026.

Facilitymedian $5,129 · 10th–90th $2,455$13,8040%10%10th90th$5,129Professionalmedian $3,981 · 10th–90th $3,715$3,9810%50%10th$3,981$100.0$500.0$2.0K$10.0K

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
$3,981.07
Median
$6,309.57
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,677.35
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$7,079.46
Typical High
$14,791.08
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,454.71
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,754.40