go back

Samarium Sm-153 Lexidronam, Therapeutic

Idaho 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 Idaho, 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 $18,621 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 8 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 $16,982
FacilityA hospital or hospital-owned outpatient department$18,621$16,596 to $26,915

How much rates vary

Facilitymedian $18,621 · 10th to 90th $7,762 to $43,652Professionalmedian $16,596 · 10th to 90th $15,488 to $16,982
$10$100$1K$10Kfacility $18,621professional $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
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,595.87
Typical High
$16,982.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$18,197.01
Typical High
$50,118.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,620.87
Typical High
$44,668.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$16,982.44
Typical High
$23,988.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$16,218.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$25,703.96
Typical High
$43,651.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$22,387.21
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$47,863.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$18,620.87
Typical High
$26,915.35
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10

Where Idaho 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.

Idaho· 11th 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.