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Samarium Sm-153 Lexidronam, Therapeutic

Indiana 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?

$16,218

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $16,218 for this service. The price depends on where it is billed: about $15,488 from a physician practice, and about $24,547 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 4 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$15,488$8,128 to $15,488
FacilityA hospital or hospital-owned outpatient department$24,547$19,055 to $28,184

How much rates vary

Facilitymedian $24,547 · 10th to 90th $6,310 to $38,905Professionalmedian $15,488 · 10th to 90th $5,370 to $16,218
$5K$10K$20K$50Kfacility $24,547professional $15,488

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
$15,488.17
Median
$38,904.51
Typical High
$38,904.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$15,488.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$24,547.09
Typical High
$32,359.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,918.31
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$45,708.82
Typical High
$45,708.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,309.57
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$24,547.09

Where Indiana 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.

Indiana· 33rd of 51

$16,218

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.