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Technetium Tc-99m Labeled Autologous White Blood Cells

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,738 to $2,042.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,660 to $3,162Professionalmedian $1,738 · 10th to 90th $1,698 to $2,042
$2.0K$5.0Kfacility $2,042professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,698.24
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,698.24
Typical High
$1,949.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24

Where South Dakota 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.

South Dakota $1,738 · 10th 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.