go back

Indiana rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.58 / $26.58 / $26.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $26.58 / $27.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.60 / $25.75 / $35.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.85 / $21.83 / $31.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.84 / $25.99 / $33.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $24.41 / $27.08