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New Jersey rates for HCPCS A9604

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

Facilitymedian $15,488 · 10th–90th $5,248–$22,9090%10%20%10th90th$15,488Professionalmedian $16,596 · 10th–90th $15,488–$16,5960%50%10th$16,596$5.0K$10.0K$20.0K$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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $19,498.45 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,715.19 / $16,982.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $11,481.54 / $33,884.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $16,218.10 / $16,982.44