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Technetium Tc-99m Labeled Autologous White Blood Cells

Pennsylvania 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 Pennsylvania, 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 $1,738 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$1,738 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,738$1,445 to $2,692

How much rates vary

Facilitymedian $1,738 · 10th to 90th $933 to $6,607Professionalmedian $1,738 · 10th to 90th $1,698 to $1,905
$1K$2K$5Kfacility $1,738professional $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
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$2,951.21
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$3,162.28
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,630.27
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,168.69
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$1,905.46
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,905.46
Typical High
$1,905.46
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
$2,344.23

Where Pennsylvania 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.

Pennsylvania· 12th 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.