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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte A9604 $15,442 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9604 $15,504 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9604 $15,504 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9604 $16,186 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9604 $16,583 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9604 $16,775 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9604 $16,899 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9604 $17,069 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9604 $17,069 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9604 $17,069 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9604 $17,069 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9604 $17,069 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9604 $18,977 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9604 $22,170 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9604 $23,504 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9604 $25,085 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin A9604 $25,648 [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.