go back

Hawaii rates for HCPCS A9604

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

Professionalmedian $15,488 · 10th–90th $4,266$19,4980%20%10th90th$15,488$5.0K$10.0K$20.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $16,218.10 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $25,118.86
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $22,387.21 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $24,547.09