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Technetium Tc-99m Labeled Autologous White Blood Cells

Missouri 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 Missouri, 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 $2,291 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 5 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 $2,042
FacilityA hospital or hospital-owned outpatient department$2,291$1,698 to $3,236

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,000 to $4,467Professionalmedian $1,738 · 10th to 90th $1,549 to $2,042
$1K$2K$5Kfacility $2,291professional $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
$1,659.59
Median
$1,659.59
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,290.87
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$7,762.47
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,698.24
Typical High
$1,949.84

Where Missouri 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.

Missouri· 16th 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.