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North Carolina rates for HCPCS A9604

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

Facilitymedian $16,596 · 10th–90th $7,079–$30,2000%50%10th90th$16,596Professionalmedian $16,596 · 10th–90th $15,488–$18,6210%50%10th90th$16,596$100.0$500.0$2.0K$10.0K$50.0K

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
$16,595.87 / $16,595.87 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $16,595.87 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $16,982.44 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $25,118.86 / $38,904.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $17,378.01 / $25,118.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $7,079.46 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $21,379.62
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $58,884.37 / $58,884.37
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87,096.36 / $87,096.36 / $87,096.36