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
Texas
Hospital Address Code Price Last Updated
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass A9604 $12,742 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington A9604 $17,532 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9604 $17,775 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9604 $20,663 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9604 $21,615 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9604 $26,681 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9604 $49,725 [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.