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Technetium Tc-99m Labeled Autologous White Blood Cells

Michigan 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?

$1,698

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $1,514 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,698$1,479 to $2,188
FacilityA hospital or hospital-owned outpatient department$1,514$1,148 to $2,042

How much rates vary

Facilitymedian $1,514 · 10th to 90th $933 to $3,715Professionalmedian $1,698 · 10th to 90th $933 to $2,818
$1K$2K$5Kfacility $1,514professional $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
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,698.24
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,380.38
Typical High
$2,398.83
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,737.80
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$6,456.54
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$3,090.30
Priority Health
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,737.80
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
$2,041.74

Where Michigan 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.

Michigan· 36th of 51

$1,698

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.