| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16,608.54 | $16,608.54 | $16,608.54 | |
Cigna
| Professional | $16,608.54 | $16,608.54 | $16,608.54 | |
United
| Professional | $15,468.74 | $16,282.88 | $24,424.32 |
Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16,608.54 | $16,608.54 | $16,608.54 | |
Cigna
| Professional | $16,608.54 | $16,608.54 | $16,608.54 | |
United
| Professional | $15,468.74 | $16,282.88 | $24,424.32 |