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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 October 2026.

How much does Technetium Tc-99m Labeled Autologous White Blood Cells cost?

$1,738

Typical negotiated rate. In Oregon, 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 $1,950 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 8 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 $1,950
FacilityA hospital or hospital-owned outpatient department$1,950$1,950 to $2,455

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,778 to $3,631Professionalmedian $1,738 · 10th to 90th $1,698 to $4,571
$100$200$500$1K$2K$5Kfacility $1,950professional $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
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,786.30
Typical High
$5,495.41
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$3,630.78
Providence
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$3,890.45
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,737.80
Typical High
$5,248.07
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$2,041.74
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,905.46
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,041.74

Where Oregon 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.

Oregon· 23rd 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.