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Technetium Tc-99m Labeled Autologous White Blood Cells

New Hampshire 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 New Hampshire, October 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,738 to $2,692.

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 $2,818 · 10th to 90th $1,380 to $4,677Professionalmedian $1,738 · 10th to 90th $1,698 to $3,020
$1K$2K$5Kfacility $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
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$2,754.23
Typical High
$4,677.35
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$4,073.80
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$4,073.80

Where New Hampshire 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.

New Hampshire· 11th 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.