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Samarium Sm-153 Lexidronam, Therapeutic

Massachusetts 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 Massachusetts, 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$16,596 to $16,596
FacilityA hospital or hospital-owned outpatient department$18,621$16,596 to $22,387

How much rates vary

Facilitymedian $18,621 · 10th to 90th $6,918 to $35,481Professionalmedian $16,596 · 10th to 90th $16,218 to $27,542
$5K$10K$20K$50Kfacility $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
$16,595.87
Median
$16,595.87
Typical High
$18,620.87
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$11,748.98
Typical High
$19,054.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$16,218.10
Typical High
$43,651.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$34,673.69
Typical High
$72,443.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,466.84
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$26,915.35
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$11,748.98
Typical High
$19,054.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$16,218.10
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,595.87
Typical High
$17,378.01

Where Massachusetts 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.

Massachusetts· 26th 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.