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Tennessee rates for HCPCS A9604

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

Facilitymedian $18,621 · 10th–90th $4,266–$58,8840%10%10th90th$18,621Professionalmedian $16,218 · 10th–90th $15,849–$16,5960%50%10th90th$16,218$5.0K$10.0K$20.0K$50.0K$100.0K

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
$16,218.10 / $16,218.10 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $16,218.10 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $25,703.96 / $29,512.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $58,884.37 / $58,884.37
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87,096.36 / $87,096.36 / $87,096.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,570.88 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,595.87