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Technetium Tc-99m Labeled Autologous White Blood Cells

New Mexico 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 New Mexico, 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 $1,738 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$1,698$1,698 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,738$933 to $3,467

How much rates vary

Facilitymedian $1,738 · 10th to 90th $933 to $3,467Professionalmedian $1,698 · 10th to 90th $1,698 to $1,738
$100$200$500$1K$2Kfacility $1,738professional $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
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$3,467.37
Providence
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
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
$1,698.24

Where New Mexico 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 Mexico· 38th 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.