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Technetium Tc-99m Labeled Autologous White Blood Cells

Oregon 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?

$1,950

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $1,950 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 8 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$1,738$1,698 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,950$1,950 to $1,950

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,950 to $2,344Professionalmedian $1,738 · 10th to 90th $1,698 to $2,344
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,950professional $1,738

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
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,570.88
Typical High
$4,897.79
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$1,862.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$3,890.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,737.80
Typical High
$3,388.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,949.84

Where Oregon 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.

Oregon $1,950 · 6th 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.