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Technetium Tc-99m Labeled Autologous White Blood Cells

South Carolina rates for HCPCS A9569

Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose

Rates data updated July 2026.

Facilitymedian $1,738 · 10th–90th $1,660$6,7610%20%40%10th90th$1,738Professionalmedian $1,698 · 10th–90th $1,549$1,7780%50%10th90th$1,698$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,819.70