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
Michigan
Hospital Address Code Price Last Updated
Up Health System – Marquette 580 West College Avenue, Marquette A9604 $14,253 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9604 $19,027 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9604 $19,027 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey A9604 $21,816 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9604 $23,031 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9604 $23,619 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9604 $24,837 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9604 $25,080 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9604 $25,710 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9604 $25,949 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9604 $28,845 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9604 $37,380 [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.