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Samarium Sm-153 Lexidronam, Therapeutic

Alabama rates for HCPCS A9604

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

Rates data updated July 2026.

How much does Samarium Sm-153 Lexidronam, Therapeutic cost?

$16,596

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $16,596 for this service. The price depends on where it is billed: about $16,596 from a physician practice, and about $20,417 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16,596$16,218 to $16,596
FacilityA hospital or hospital-owned outpatient department$20,417$17,783 to $23,442

How much rates vary

Facilitymedian $20,417 · 10th to 90th $3,162 to $28,184Professionalmedian $16,596 · 10th to 90th $16,218 to $16,596
$5K$10K$20Kfacility $20,417professional $16,596

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,848.93
Median
$16,595.87
Typical High
$16,595.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$21,877.62
Typical High
$29,512.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$28,840.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,498.45

Where Alabama sits

The same service costs 24.5 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alabama· 15th of 51

$16,596

AK $26,303MN $1,072

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.