Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for S1015. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
10
Median % of Medicare
--
Rate range
$0.36 - $29.03
S1015 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $20.55 | -- | -- | 2026 |
| District of Columbia | $0.36 | -- | Not required | 2003 |
| Missouri | $4.48* | -- | Not required | 2019 |
| North Carolina | $4.32 | -- | -- | 2025 |
| New Hampshire | $4.25 | -- | Not required | 2026 |
| New Mexico | $2.90 | -- | -- | 2025 |
| Texas | $7.22* | -- | -- | 2025 |
| Utah | $3.32* | -- | Not required | 2016 |
| Virginia | $29.03 | -- | -- | 2010 |
| Wisconsin | $2.85 | -- | -- | 2012 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related state-specific services codes
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 2 codes from S1015 to S1040 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for S1015?
10 state Medicaid programs publish a fee-for-service rate for S1015 (iv tubing extension set), ranging from $0.36 in District of Columbia to $29.03 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for S1015?
Virginia publishes the highest Medicaid rate for S1015 at $29.03. District of Columbia publishes the lowest at $0.36.
Does S1015 require prior authorization under Medicaid?
No publishing state flags S1015 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.