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Technetium Tc-99m Labeled Autologous White Blood Cells

Massachusetts 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 Massachusetts, October 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $2,818 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$1,738$1,698 to $2,884
FacilityA hospital or hospital-owned outpatient department$2,818$1,995 to $4,074

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,202 to $6,026Professionalmedian $1,738 · 10th to 90th $1,698 to $9,333
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $1,738

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
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$9,332.54
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$4,073.80
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,630.78
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,187.76
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$1,318.26
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$2,884.03
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$9,332.54
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,884.03
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$2,398.83
Typical High
$3,630.78
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 32nd 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.