go back

Nevada rates for HCPCS A9604

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,217.75 / $16,217.75 / $16,608.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,826.96 / $16,217.75 / $16,608.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.91 / $17,097.02 / $51,942.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,830.91 / $16,608.54 / $16,608.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,539.46 / $19,539.46 / $19,539.46
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,768.75 / $4,768.75 / $4,768.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $16,282.88