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Technetium Tc-99m Labeled Autologous White Blood Cells

Utah rates for HCPCS A9569

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

Rates data updated July 2026.

Facilitymedian $1,698 · 10th–90th $1,698$2,5120%50%90th$1,698Professionalmedian $1,698 · 10th–90th $1,698$1,8200%50%90th$1,698$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$1,698.24
Typical High
$1,905.46
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,137.96
Typical High
$3,019.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,570.40
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24