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Technetium Tc-99m Labeled Autologous White Blood Cells

North Dakota 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 North Dakota, October 2026.

Insurers have agreed to pay about $1,698 for this service. Most negotiated rates run $1,549 to $1,820.

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.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,660 to $2,818Professionalmedian $1,698 · 10th to 90th $1,349 to $1,905
$2K$5Kfacility $1,660professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$1,659.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,041.74
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,548.82
Typical High
$1,819.70
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,187.76
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$239.88
Median
$309.03
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,818.38
Medica
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,698.24
Typical High
$1,905.46

Where North Dakota 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.

North Dakota· 45th 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.