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Ambulance Oxygen and Oxygen Supplies

Washington rates for HCPCS A0422

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

Rates data updated July 2026.

Facilitymedian $54 · 10th–90th $45$550%50%10th90th$54Professionalmedian $35 · 10th–90th $29$350%50%10th$35$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
$33.11
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$42.66