Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
TECHNETIUM TC-99M EXAMETAZIME LABELED AUTOLOGOUS WHITE BLOOD CELLS; DIAGNOSTIC; PER STUDY DOSE
Dunn, NC
See all hospitals reporting HCPCS A9569 →Price type
Betsy Johnson Hospital’s median price of $953 is 44% below the median hospital's median price ($1.7k), higher than 9% of the 1,618 hospitals reporting HCPCS A9569. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare advantage facility · other · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 2 | Optum optum veterans affairs community care network facility · other · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 3 | WellCare medicare advantage facility · other · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 4 | Aetna medicare advantage facility · other · outpatient | $953 | $953 | — | — | — | $953 – $953 |
| 5 | Ambetter commercial facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Aetna commercial facility · other · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | UnitedHealthcare commercial facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
Last updated: Apr 7, 2026
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