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Indium In-111 Pentetreotide, Diagnostic

Oregon rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $4,365 · 10th–90th $4,074$7,9430%50%10th90th$4,365Professionalmedian $3,981 · 10th–90th $3,890$7,7620%20%40%10th90th$3,981$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$12,882.50
Typical High
$16,982.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,981.07
Typical High
$5,495.41
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,981.07
Typical High
$3,981.07
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$10,715.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$12,882.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,981.07
Typical High
$11,220.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,897.79