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
Ohio
Hospital Address Code Price Last Updated
Euclid Hospital 18901 Lakeshore Blvd., Cleveland A9604 $31,193 [source] 4 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland A9604 $31,193 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina A9604 $31,193 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland A9604 $31,193 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland A9604 $31,193 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland A9604 $31,193 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland A9604 $31,193 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland A9604 $31,193 [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.