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Maryland rates for HCPCS A0428

Ambulance service, basic life support, nonemergency transport, (BLS)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $275.42 / $275.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $208.93 / $251.19