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

Iowa

Hospital	Address	Code	Price	Last Updated
Chi Health Missouri Valley	809 Elm St, Missouri Valley	A9604	$42,326 [source]	4 years ago
Chi Health Mercy Corning	601 Rosary Dr, Corning	A9604	$42,326 [source]	4 years ago
Chi Health Mercy	1409 Clark St, Des Moines	A9604	$49,795 [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.