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Samarium Sm-153 Lexidronam, Therapeutic

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $16,596 for this service. The price depends on where it is billed: about $16,596 from a physician practice, and about $19,055 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$16,596$16,596 to $16,596
FacilityA hospital or hospital-owned outpatient department$19,055$16,596 to $32,359

How much rates vary

Facilitymedian $19,055 · 10th to 90th $14,791 to $61,660Professionalmedian $16,596 · 10th to 90th $15,488 to $16,596
$5K$10K$20K$50K$100Kfacility $19,055professional $16,596

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
$18,620.87
Typical High
$102,329.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,595.87
Typical High
$16,595.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$17,782.79
Typical High
$26,302.68
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$57,543.99
Typical High
$61,659.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$16,595.87
Typical High
$16,595.87
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$18,620.87
Typical High
$102,329.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,595.87
Typical High
$16,595.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$25,703.96
Typical High
$42,657.95
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,498.45

Where Pennsylvania 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.

Pennsylvania· 22nd 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.