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Idaho rates for HCPCS A9604

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

Facilitymedian $18,197 · 10th–90th $7,762$43,6520%20%10th90th$18,197Professionalmedian $16,596 · 10th–90th $16,218$19,4980%50%10th90th$16,596$5.0$20.0$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
$16,595.87 / $16,595.87 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,595.87 / $19,498.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $18,197.01 / $50,118.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,620.87 / $44,668.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $16,595.87 / $23,442.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,595.87 / $19,952.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $16,218.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $25,703.96 / $43,651.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $22,387.21
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10