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Alaska rates for HCPCS A9604

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

Facilitymedian $27,542 · 10th–90th $26,303–$42,6580%50%10th90th$27,542Professionalmedian $16,596 · 10th–90th $15,488–$19,4980%50%10th90th$16,596$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $16,595.87 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $38,018.94
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $16,218.10 / $26,302.68
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $27,542.29 / $42,657.95
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $38,018.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $3,715.35 / $16,595.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $24,547.09 / $45,708.82