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

Hawaii

Hospital	Address	Code	Price	Last Updated
Hilo Medical Center	1190 Waianuenue Ave, Hilo	A9604	$19,709 [source]	4 years ago
Kona Community Hospital	79-1019 Haukapila St, Kealakekua	A9604	$19,709 [source]	4 years ago
The Queen's Medical Center - West O'ahu	1301 Punchbowl St, Honolulu	A9604	$29,585 [source]	4 years ago
The Queen's Medical Center	4800 Kawaihau Rd, Kapaa	A9604	$29,585 [source]	4 years ago
Kaiser Permanente	3288 Moanalua Rd, Honolulu	A9604	$50,808 [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.