Ambulance Fee Schedule
HCPCS Code |
Description |
Rate |
A0425 |
Mileage |
$16.50/mile |
A0428 |
BLS, Base Rate |
$495.00 |
A0429 |
BLS, Base Rate, Emergency |
$605.00 |
A0426 |
ALS, Base Rate |
$687.50 |
A0427 |
ALS, Base Rate, Emergency |
$777.70 |
A0433 |
ALS2, Base Rate |
$979.00 |
A0434 |
Specialty Care, Base Rate |
$1,177.00 |
A0998 |
EMS Evaluation w/o Transport |
$360.00 |
|
Standby, For Profit |
$165.00/hr |
|
Standby, Non-Profit/Schools |
$82.50/hr |
ALS Disposable Charge | $200.00 | |
BLS Disposable Charge | $150.00 |