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
Indiana
Hospital Address Code Price Last Updated
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil A9604 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, A9604 $6,012 [source] 4 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis A9604 $35,655 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport A9604 $35,655 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem A9604 $35,655 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson A9604 $35,655 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis A9604 $35,655 [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 ยง180.