go back

Ohio 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
$243.99 / $243.99 / $297.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.99 / $243.99 / $243.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.72 / $460.74 / $655.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.43 / $231.46 / $639.09
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.64 / $291.01 / $318.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.93 / $241.93 / $314.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $250.00 / $457.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.10 / $249.10 / $337.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $250.00 / $457.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.74 / $337.00 / $537.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.50 / $244.50 / $427.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.32 / $289.75 / $360.00