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
Kentucky
Hospital Address Code Price Last Updated
Bluegrass Community Hospital 360 Amsden Avenue, Versailles A9604 $2,276 [source] 4 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown A9604 $11,711 [source] 4 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset A9604 $27,109 [source] 4 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester A9604 $27,373 [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.