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Pennsylvania rates for HCPCS A0428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $257.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $251.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $257.04
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $331.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $501.19 / $851.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $354.81
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $269.15
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 / $239.88 / $524.81