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Indiana rates for HCPCS A0426

Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.12 / $266.13 / $2,182.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.88 / $266.13 / $275.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.38 / $480.39 / $2,182.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.25 / $254.07 / $350.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.53 / $318.31 / $425.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.08 / $293.82 / $446.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.87 / $2,182.87 / $2,182.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.00 / $317.00 / $317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.76 / $234.62 / $266.06