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Technetium Tc-99m Labeled Autologous White Blood Cells

Arizona rates for HCPCS A9569

Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose

Rates data updated October 2026.

How much does Technetium Tc-99m Labeled Autologous White Blood Cells cost?

$1,738

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $3,162 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$1,698$1,698 to $1,950
FacilityA hospital or hospital-owned outpatient department$3,162$2,239 to $5,248

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,230 to $7,079Professionalmedian $1,698 · 10th to 90th $1,660 to $7,762
$1K$2K$5Kfacility $3,162professional $1,698

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
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$4,677.35
Typical High
$7,079.46
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,819.70
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,819.70

Where Arizona sits

The same service costs 1.7 times more in Alaska than in Kentucky. 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.

Arizona· 13th of 51

$1,738

AK $2,754KY $1,660

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.