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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln A9604 $10,557 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler A9604 $42,326 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview A9604 $42,326 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha A9604 $49,795 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion A9604 $49,795 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha A9604 $49,795 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha 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 ยง180.