IV TUBING EXTENSION SET

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Generation details were not recorded for this description.

Original text from hospital filings

Payers reporting HCPCS S1015

Payer pricing summary

Low

Average

$35

Median

$24

High

$115

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	28	$70	$63	$53	84%	—	$10 – $205
2	Aetna fee schedule · outpatient · +12 other terms	21	$10	$117	$204	175%	—	$10 – $694
3	Anthem facility · case rate · outpatient · +6 other terms	15	$15	$17	$4	23%	—	$10 – $26
4	Caresource facility · case rate · outpatient · +3 other terms	15	$16	$17	$4	23%	—	$10 – $27
5	Molina facility · case rate · outpatient · +2 other terms	15	$15	$17	$4	23%	—	$11 – $26
6	UnitedHealthcare facility · case rate · outpatient · +9 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Cigna facility · fee schedule · outpatient · +9 other terms	13	$13	$31	$22	73%	—	$13 – $108
8	Wellmark fee schedule · both · +1 other terms	13	$12	$13	$3	26%	—	$12 – $32
9	Optum facility · case rate · outpatient · +1 other terms	11	$14	$16	$4	22%	—	$13 – $24
10	Highmark fee schedule · outpatient · +3 other terms	10	$11	$11	—	—	—	$11 – $11
11	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$10	$10	—	—	—	$10 – $10
12	Humana fee schedule · inpatient · +6 other terms	5	$10	$10	—	—	—	$10 – $10
13	First Health professional · fee schedule · both · +5 other terms	3	$11	$11	—	—	—	$11 – $11
14	Amerihealth Caritas professional · fee schedule · outpatient	2	$4	$4	$0	1%	—	$4 – $4
15	Ambetter facility · fee schedule · outpatient · +1 other terms	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Il professional · fee schedule · both	1	$40	$40	—	—	—	$40 – $40
17	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
18	Bcbs Mn fee schedule · outpatient	1	$21	$21	—	—	—	$21 – $21
19	Bcbs Nc facility · fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
20	Bcbs Nv fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
21	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$8	$8	$2	30%	—	$4 – $12
22	Bcbs Vt professional · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
23	Carefirst percent of total billed charges · bothfrom % of charges	1	$27	$27	$7	27%	—	$18 – $40
24	Healthpartners facility · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
25	MultiPlan fee schedule · inpatient · +7 other terms	1	$378	$378	$252	67%	—	$78 – $694

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