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Technetium Tc-99m Labeled Autologous White Blood Cells

Hawaii 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?

$2,630

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $2,344 to $2,630.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Professionalmedian $2,630 · 10th to 90th $2,138 to $2,630
$2Kprofessional $2,630

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
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$3,801.89
United
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$2,630.27

Where Hawaii 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.

Hawaii· 2nd of 51

$2,630

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.