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Samarium Sm-153 Lexidronam, Therapeutic

Texas 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?

$15,849

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $15,849 for this service. The price depends on where it is billed: about $15,849 from a physician practice, and about $19,498 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 9 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$15,849$15,849 to $16,218
FacilityA hospital or hospital-owned outpatient department$19,498$15,849 to $43,652

How much rates vary

Facilitymedian $19,498 · 10th to 90th $4,467 to $58,884Professionalmedian $15,849 · 10th to 90th $15,488 to $16,596
$5K$10K$20K$50K$100Kfacility $19,498professional $15,849

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
$15,848.93
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,848.93
Typical High
$16,595.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$37,153.52
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$39,810.72
Typical High
$112,201.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$87,096.36
Median
$87,096.36
Typical High
$87,096.36
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$19,498.45
Typical High
$26,302.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$19,498.45
Typical High
$51,286.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,595.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$18,620.87
Typical High
$25,118.86

Where Texas 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.

Texas· 41st of 51

$15,849

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.