go back

Samarium Sm-153 Lexidronam, Therapeutic

Virginia 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?

$16,218

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $16,218 for this service. The price depends on where it is billed: about $16,596 from a physician practice, and about $7,943 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$15,488 to $16,596
FacilityA hospital or hospital-owned outpatient department$7,943$3,162 to $15,136

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,162 to $17,378Professionalmedian $16,596 · 10th to 90th $15,488 to $19,498
$5K$10K$20Kfacility $7,943professional $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
$16,595.87
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,595.87
Typical High
$16,595.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,309.57
Typical High
$10,715.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$21,877.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$32,359.37
Typical High
$41,686.94
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
$3,715.35
Median
$5,248.07
Typical High
$18,620.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$19,498.45
Typical High
$29,512.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$18,620.87
Typical High
$23,988.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$18,620.87
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,890.45
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,054.61

Where Virginia 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.

Virginia· 40th of 51

$16,218

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.