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Samarium Sm-153 Lexidronam, Therapeutic

North Dakota 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 North Dakota, 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 $16,982 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$14,791 to $17,378
FacilityA hospital or hospital-owned outpatient department$16,982$15,488 to $19,498

How much rates vary

Facilitymedian $16,982 · 10th to 90th $15,488 to $19,498Professionalmedian $16,218 · 10th to 90th $12,882 to $18,621
$5K$10K$20Kfacility $16,982professional $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
$19,498.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,218.10
Typical High
$19,498.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$16,982.44
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,248.07
Typical High
$16,595.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$20,417.38
Typical High
$27,542.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$74,131.02
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$24,547.09

Where North Dakota 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.

North Dakota· 30th 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.