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Samarium Sm-153 Lexidronam, Therapeutic

Washington 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 Washington, 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 $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 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$16,596$15,849 to $18,621
FacilityA hospital or hospital-owned outpatient department$16,596$7,943 to $31,623

How much rates vary

Facilitymedian $16,596 · 10th to 90th $3,388 to $51,286Professionalmedian $16,596 · 10th to 90th $9,772 to $18,621
$100$1K$10K$100Kfacility $16,596professional $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
$39,810.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,218.10
Typical High
$16,982.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$25,703.96
Typical High
$35,481.34
Asuris Northwest Health
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
$31,622.78
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
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$9,772.37
Typical High
$79,432.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$8,709.64
Typical High
$11,220.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$18,620.87
Typical High
$47,863.01
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$19,952.62
Typical High
$35,481.34
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$19,498.45
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
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$23,988.33
Typical High
$26,302.68

Where Washington 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.

Washington· 20th 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.