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Indium In-111 Pentetreotide, Diagnostic

Oklahoma 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 Oklahoma, 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 $6,761 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$3,890 to $4,169
FacilityA hospital or hospital-owned outpatient department$6,761$3,802 to $6,761

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,995 to $6,761Professionalmedian $3,981 · 10th to 90th $3,890 to $38,905
$2K$5K$10K$20Kfacility $6,761professional $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
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,801.89
Typical High
$3,890.45
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$6,760.83
Typical High
$6,760.83
Medica
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$38,904.51
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
$4,265.80

Where Oklahoma 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.

Oklahoma· 18th 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.