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Pennsylvania rates for HCPCS A0426

Ambulance Service Advanced Life Support Non-Emergency Transport Level 1 (Als 1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.63 / $742.63 / $779.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.00 / $258.77 / $283.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $403.00 / $713.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $325.00 / $822.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $250.00 / $500.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.15 / $612.82 / $1,231.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.63 / $742.63 / $742.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $260.00 / $413.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.77 / $696.77 / $696.77
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $325.00 / $822.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $265.00 / $500.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.77 / $309.77 / $339.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $286.24 / $738.00