HCPCS A9542
Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
Current code21 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,117 – $23,780 | $9,807 | $24,518 |
| Deaconess Medical Center | $1,117 – $15,800 | — | — |
| Kadlec Regional Medical Center | $2,394 – $4,955 | — | — |
| Mary Bridge Children's Hospital | $1,835 – $38,304 | — | — |
| MultiCare Auburn Medical Center | $1,117 – $8,219 | — | — |
| MultiCare Covington Medical Center | $1,117 – $8,219 | — | — |
| MultiCare Good Samaritan Hospital | $1,117 – $8,219 | — | — |
| MultiCare Valley Hospital | $1,117 – $15,800 | — | — |
| Overlake Hospital Medical Center & Clinics | $718 – $6,701 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,389 | — | — |
| Providence Centralia Hospital | $2,394 – $3,032 | — | — |
| Providence Holy Family Hospital | $4,389 | — | — |
| Providence Regional Medical Center Everett | $4,389 | — | — |
| Swedish Edmonds Hospital | $4,389 | — | — |
| Swedish Issaquah | $4,389 | — | — |
| Swedish Medical Center | $4,389 | — | — |
| Swedish Medical Center / Cherry Hill | $4,389 | — | — |
| Tacoma General Allenmore Hospital | $1,117 – $8,219 | — | — |
| University of Washington Medical Ctr | $1,021 – $1,277 | — | — |
| Virginia Mason Medical Center | $798 – $2,831 | — | — |
| Yakima Valley Memorial | $1,476 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.