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Louisiana rates for HCPCS A9604

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

Facilitymedian $17,783 · 10th–90th $3,162–$19,4980%50%10th90th$17,783Professionalmedian $16,596 · 10th–90th $15,488–$19,4980%20%40%10th90th$16,596$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
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $16,595.87 / $19,498.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $19,952.62 / $33,113.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $18,620.87