Ambulance Fee Schedule
HCPCS Code |
Description |
Rate |
A0425 |
Mileage |
$15.00/mile |
A0428 |
BLS, Base Rate |
$450.00 |
A0429 |
BLS, Base Rate, Emergency |
$550.00 |
A0426 |
ALS, Base Rate |
$468.00 |
A0427 |
ALS, Base Rate, Emergency |
$707.00 |
A0433 |
ALS2, Base Rate |
$890.00 |
A0434 |
Specialty Care, Base Rate |
$1,070.00 |
A0998 |
EMS Evaluation w/o Transport |
$150.00 |
|
Standby, For Profit |
$150/hr |
|
Standby, Non-Profit/Schools |
$75/hr |