go back

Ambulance Oxygen and Oxygen Supplies

South Dakota rates for HCPCS A0422

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

Rates data updated July 2026.

Professionalmedian $30 · 10th–90th $18$370%10%20%10th90th$30$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$31.62
Typical High
$52.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00