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Samarium Sm-153 Lexidronam, Therapeutic

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $16,218 for this service. The price depends on where it is billed: about $16,218 from a physician practice, and about $17,378 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 6 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$16,218$15,488 to $16,596
FacilityA hospital or hospital-owned outpatient department$17,378$15,488 to $25,704

How much rates vary

Facilitymedian $17,378 · 10th to 90th $3,162 to $41,687Professionalmedian $16,218 · 10th to 90th $13,490 to $17,783
$5K$10K$20K$50Kfacility $17,378professional $16,218

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
$15,488.17
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$15,488.17
Typical High
$16,595.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$25,118.86
Typical High
$43,651.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,218.10
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$16,595.87
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$19,498.45
Typical High
$50,118.72
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$17,782.79
Typical High
$23,442.29
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$18,197.01

Where Michigan 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.

Michigan· 29th 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.