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Technetium Tc-99m Labeled Autologous White Blood Cells

Minnesota 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?

$1,148

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,380 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 6 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$1,148$1,148 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,380$977 to $2,455

How much rates vary

Facilitymedian $1,380 · 10th to 90th $955 to $3,890Professionalmedian $1,148 · 10th to 90th $912 to $1,698
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,380professional $1,148

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
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,698.24
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,818.38
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,818.38
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$977.24
Typical High
$1,445.44
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$2,570.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,090.30

Where Minnesota 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.

Minnesota $1,148 · 51st 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.