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

Connecticut

Hospital	Address	Code	Price	Last Updated
William W Backus Hospital	326 Washington St, Norwich	A9604	$13,101 [source]	4 years ago
Hartford Hospital	80 Seymour St, Hartford	A9604	$15,686 [source]	4 years ago
Danbury Hospital	24 Hospital Ave, Danbury	A9604	$22,808 [source]	4 years ago
Norwalk Hospital	40 Prospect Ave, Norwalk	A9604	$28,956 [source]	4 years ago

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 §180.