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Samarium Sm-153 Lexidronam, Therapeutic

Ohio 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?

$15,488

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $15,488 for this service. The price depends on where it is billed: about $15,488 from a physician practice, and about $15,488 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 7 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$15,488$11,749 to $16,218
FacilityA hospital or hospital-owned outpatient department$15,488$5,495 to $28,840

How much rates vary

Facilitymedian $15,488 · 10th to 90th $3,162 to $46,774Professionalmedian $15,488 · 10th to 90th $9,120 to $17,783
$200$1K$5K$20K$100Kfacility $15,488professional $15,488

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
$28,840.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$16,595.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$7,943.28
Typical High
$54,954.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$11,748.98
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$41,686.94
Typical High
$47,863.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$19,498.45
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$41,686.94
Typical High
$51,286.14
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$19,498.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$21,379.62
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$17,782.79

Where Ohio 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.

Ohio· 45th of 51

$15,488

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.