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Technetium Tc-99m Labeled Autologous White Blood Cells

Idaho 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?

$1,778

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $1,950 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,778$1,738 to $2,188
FacilityA hospital or hospital-owned outpatient department$1,950$1,549 to $2,188

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,230 to $3,631Professionalmedian $1,778 · 10th to 90th $1,698 to $2,399
$50$100$200$500$1K$2K$5Kfacility $1,950professional $1,778

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
$1,778.28
Typical High
$1,778.28
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,479.11
Typical High
$4,265.80
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,778.28
Typical High
$2,511.89
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$1,445.44
Typical High
$1,698.24
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$3,162.28
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$3,715.35
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,548.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$2,454.71
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,949.84
Typical High
$1,949.84
Select Health
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,041.74
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,754.23

Where Idaho 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.

Idaho· 9th of 51

$1,778

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.