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Maryland rates for HCPCS A0426

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.20 / $314.11 / $314.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.42 / $270.00 / $700.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.87 / $264.87 / $693.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $275.00 / $297.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.68 / $248.10 / $344.81