go back

New Mexico rates for HCPCS A9604

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

Facilitymedian $38,905 · 10th–90th $7,079–$64,5650%10%10th90th$38,905Professionalmedian $16,218 · 10th–90th $15,488–$16,5960%50%10th90th$16,218$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
$18,620.87 / $18,620.87 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $16,218.10 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $41,686.94 / $66,069.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $33,113.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $16,595.87 / $33,113.11
Providence
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
$3,162.28 / $4,265.80 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10