Code: A9604

Description:
Description: Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP SM 153 TX DS UPTO 150MCI
SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI
SM 153 LEXIDRONAM =<150 MCI
Hc Samarium 153, To 150mci Per Tx
Sm 153 lexidronam
Quadramet Inj Samarium 153
Related codes:
Code: A9600
STRONTIUM SR89 CL TX MCI
Code: A9605
SAMARIUM SM-153 LEXIDRONAMM TX PER 50 MCI
Code: A9606
RADIUMRA223 DCHL TX 1UCI
State Average # Hospitals In Database
Alabama (AL) $3,185 1
Mississippi (MS) $6,211 6
Minnesota (MN) $8,101 14
Maine (ME) $8,711 1
Arizona (AZ) $9,881 1
Oklahoma (OK) $10,776 1
South Carolina (SC) $11,751 2
Kansas (KS) $13,406 5
District of Columbia (DC) $15,296 1
Maryland (MD) $15,528 5
New Jersey (NJ) $16,359 1
Kentucky (KY) $17,117 4
West Virginia (WV) $17,260 1
New Mexico (NM) $18,123 1
Virginia (VA) $18,391 3
North Carolina (NC) $18,448 17
North Dakota (ND) $18,700 2
Connecticut (CT) $20,138 4
Idaho (ID) $20,950 3
New York (NY) $21,269 3
Texas (TX) $23,544 8
Massachusetts (MA) $23,729 4
Wisconsin (WI) $23,742 7
Michigan (MI) $24,048 12
Louisiana (LA) $25,711 1
Rhode Island (RI) $26,590 2
Nevada (NV) $27,368 6
Tennessee (TN) $27,969 9
Florida (FL) $29,061 58
Georgia (GA) $29,152 4
Hawaii (HI) $29,879 5
Ohio (OH) $31,193 8
Indiana (IN) $31,420 14
Washington (WA) $32,708 1
California (CA) $33,217 55
Oregon (OR) $38,347 3
Missouri (MO) $39,260 5
Nebraska (NE) $42,056 7
Iowa (IA) $44,816 3
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.