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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9604 $78 [source] 4 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff A9604 $4,786 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9604 $22,079 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9604 $28,710 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9604 $28,710 [source] 4 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin A9604 $34,487 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee A9604 $47,342 [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.