go back

Ohio rates for HCPCS A0428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $213.80 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $407.38 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $645.65
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $257.04 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $208.93 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $213.80 / $251.19
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $208.93 / $1,778.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $208.93 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $354.81
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $204.17 / $275.42