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Samarium Sm-153 Lexidronam, Therapeutic

Oregon 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?

$16,596

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $16,596 for this service. The price depends on where it is billed: about $16,218 from a physician practice, and about $16,596 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 8 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$16,218 to $16,596
FacilityA hospital or hospital-owned outpatient department$16,596$7,943 to $23,442

How much rates vary

Facilitymedian $16,596 · 10th to 90th $6,310 to $38,905Professionalmedian $16,218 · 10th to 90th $9,333 to $18,621
$100$500$2K$10K$50Kfacility $16,596professional $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
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$8,912.51
Typical High
$9,549.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,943.28
Typical High
$23,442.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,309.57
Typical High
$6,309.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$16,982.44
Typical High
$37,153.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$16,595.87
Typical High
$23,442.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$33,884.42
Typical High
$58,884.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$18,620.87

Where Oregon 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.

Oregon· 18th of 51

$16,596

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.