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Nationwide rates for HCPCS A9604

Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $16,595.87 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $16,218.10 / $19,498.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $19,054.61 / $38,018.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $16,218.10 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $16,595.87 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,265.80 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $19,498.45