go back

California rates for HCPCS A9604

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

Facilitymedian $18,621 · 10th–90th $8,710–$33,1130%20%10th90th$18,621Professionalmedian $16,218 · 10th–90th $12,303–$19,9530%50%10th90th$16,218$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $16,218.10 / $19,498.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $18,620.87 / $25,118.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $16,595.87 / $30,902.95
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $18,620.87 / $23,442.29
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,238.72 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $33,113.11 / $41,686.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $18,620.87 / $20,417.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $18,620.87 / $25,703.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $58,884.37 / $58,884.37
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87,096.36 / $87,096.36 / $87,096.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $17,378.01 / $33,113.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $21,379.62 / $27,542.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $54,954.09 / $54,954.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $32,359.37