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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 July 2026.

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

$1,738

Typical negotiated rate. In Pennsylvania, July 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 $1,905 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 9 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$1,738 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,905$1,738 to $5,248

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,122 to $6,457Professionalmedian $1,738 · 10th to 90th $1,660 to $1,738
$1.0K$2.0K$5.0K$10.0Kfacility $1,905professional $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
$1,737.80
Median
$2,238.72
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,165.95
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,884.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$6,456.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$1,737.80
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,168.69
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,137.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,041.74

Where Pennsylvania 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.

Pennsylvania $1,738 · 19th 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.