go back

Indium In-111 Pentetreotide, Diagnostic

Wyoming 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 Wyoming, October 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $3,890 to $4,677.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $3,715 to $3,715Professionalmedian $3,981 · 10th to 90th $3,890 to $4,677
$5Kfacility $3,715professional $3,981

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,677.35
Typical High
$4,677.35
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$3,235.94
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$794.33
Median
$933.25
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where Wyoming 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.

Wyoming· 31st 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.