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Indium In-111 Pentetreotide, Diagnostic

Virginia rates for HCPCS A9572

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

Rates data updated July 2026.

Facilitymedian $3,981 · 10th–90th $1,995$6,7610%20%10th90th$3,981Professionalmedian $3,981 · 10th–90th $3,715$4,6770%20%40%10th90th$3,981$50.0$200.0$1.0K$5.0K

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
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,981.07
Typical High
$6,760.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$6,165.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,762.47
Typical High
$10,000.00
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
$3,715.35
Median
$5,370.32
Typical High
$7,585.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,677.35
Typical High
$7,244.36
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$5,754.40
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,454.71
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,677.35