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Samarium Sm-153 Lexidronam, Therapeutic

Montana 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?

$6,457

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $16,218 from a physician practice, and about $6,457 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$16,218$6,457 to $16,218
FacilityA hospital or hospital-owned outpatient department$6,457$6,310 to $6,457

How much rates vary

Facilitymedian $6,457 · 10th to 90th $6,310 to $24,547Professionalmedian $16,218 · 10th to 90th $6,026 to $16,218
$100$500$2K$10K$50Kfacility $6,457professional $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
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,218.10
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$9,772.37
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$16,595.87
Typical High
$16,595.87
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,456.54
Typical High
$6,456.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,456.54
Typical High
$6,456.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$11,481.54
Typical High
$24,547.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,890.45
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10

Where Montana 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.

Montana· 49th of 51

$6,457

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.