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

Georgia

Hospital	Address	Code	Price	Last Updated
Emory University Hospital	1364 Clifton Rd Ne, Atlanta	A9604	$15,189 [source]	4 years ago
Coliseum Health System	350 Hospital Dr, Macon	A9604	$15,810 [source]	4 years ago
Redmond Regional Medical Center	501 Redmond Rd, Rome	A9604	$31,031 [source]	4 years ago
Cartersville Medical Center	960 Joe Frank Harris Pkwy, Cartersville	A9604	$54,576 [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.