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Samarium Sm-153 Lexidronam, Therapeutic

Missouri 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?

$15,488

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $15,488 for this service. The price depends on where it is billed: about $15,488 from a physician practice, and about $15,488 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 5 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$14,791 to $16,596
FacilityA hospital or hospital-owned outpatient department$15,488$3,311 to $19,498

How much rates vary

Facilitymedian $15,488 · 10th to 90th $3,162 to $28,184Professionalmedian $15,488 · 10th to 90th $14,791 to $19,498
$5K$10K$20K$50Kfacility $15,488professional $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
$15,488.17
Typical High
$20,417.38
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
$3,162.28
Median
$10,964.78
Typical High
$42,657.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$27,542.29
Typical High
$30,902.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$19,498.45
Typical High
$72,443.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$13,803.84
Median
$16,218.10
Typical High
$23,442.29
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
$14,791.08
Median
$16,218.10
Typical High
$19,498.45

Where Missouri 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.

Missouri· 43rd of 51

$15,488

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.