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Minnesota 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
$283.50 / $283.50 / $283.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.50 / $283.50 / $283.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.91 / $373.23 / $591.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.46 / $674.33 / $674.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.63 / $1,001.63 / $1,259.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $931.51 / $2,043.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.71 / $991.71 / $1,412.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.88 / $733.47 / $1,799.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.98 / $1,459.29 / $2,230.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.33 / $1,246.82 / $1,871.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.80 / $730.00 / $1,229.04