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Washington rates for HCPCS A0428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $691.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $275.42 / $295.12