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Technetium Tc-99m Labeled Autologous White Blood Cells

Indiana rates for HCPCS A9569

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

Rates data updated July 2026.

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

$1,862

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $2,570 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,660$155 to $1,660
FacilityA hospital or hospital-owned outpatient department$2,570$2,042 to $3,467

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,660 to $4,074Professionalmedian $1,660 · 10th to 90th $102 to $1,698
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,570professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,630.78
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,570.40
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,862.09
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,570.40

Where Indiana sits

The same service costs 2.4 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Indiana $1,862 · 7th of 51
AK $2,754MN $1,148

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.