2024 Ambulance Fee Schedule
Effective January 1, 2024.
Alabama
|
HCPCS |
Contractor Number |
Locality |
RVU |
GPCI |
Base Rate |
Urban Rate |
Rural Rate |
Effective Date |
|
A0425 |
10112 |
00 |
1.00 |
0.869 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0426 |
10112 |
00 |
1.20 |
0.869 |
$272.44 |
$302.89 |
$305.86 |
1/1/2024 |
|
A0427 |
10112 |
00 |
1.90 |
0.869 |
$272.44 |
$479.57 |
$484.27 |
1/1/2024 |
|
A0428 |
10112 |
00 |
1.00 |
0.869 |
$272.44 |
$252.41 |
$254.88 |
1/1/2024 |
|
A0429 |
10112 |
00 |
1.60 |
0.869 |
$272.44 |
$403.85 |
$407.81 |
1/1/2024 |
|
A0430 |
10112 |
00 |
1.00 |
0.869 |
$3,697.17 |
$3,455.01 |
$5,182.51 |
1/1/2024 |
|
A0431 |
10112 |
00 |
1.00 |
0.869 |
$4,298.52 |
$4,016.97 |
$6,025.45 |
1/1/2024 |
|
A0432 |
10112 |
00 |
1.75 |
0.869 |
$272.44 |
$441.71 |
$446.04 |
1/1/2024 |
|
A0433 |
10112 |
00 |
2.75 |
0.869 |
$272.44 |
$694.12 |
$700.92 |
1/1/2024 |
|
A0434 |
10112 |
00 |
3.25 |
0.869 |
$272.44 |
$820.32 |
$828.36 |
1/1/2024 |
|
A0435 |
10112 |
00 |
1.00 |
0.869 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0436 |
10112 |
00 |
1.00 |
0.869 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |
Georgia
|
HCPCS |
Contractor Number |
Locality |
RVU |
GPCI |
Base Rate |
Urban Rate |
Rural Rate |
Effective Date |
|
A0425 |
10212 |
01 |
1.00 |
0.997 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0425 |
10212 |
99 |
1.00 |
0.883 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0426 |
10212 |
01 |
1.20 |
0.997 |
$272.44 |
$332.77 |
$336.03 |
1/1/2024 |
|
A0426 |
10212 |
99 |
1.20 |
0.883 |
$272.44 |
$306.16 |
$309.16 |
1/1/2024 |
|
A0427 |
10212 |
01 |
1.90 |
0.997 |
$272.44 |
$526.88 |
$532.05 |
1/1/2024 |
|
A0427 |
10212 |
99 |
1.90 |
0.883 |
$272.44 |
$484.75 |
$489.50 |
1/1/2024 |
|
A0428 |
10212 |
01 |
1.00 |
0.997 |
$272.44 |
$277.31 |
$280.02 |
1/1/2024 |
|
A0428 |
10212 |
99 |
1.00 |
0.883 |
$272.44 |
$255.13 |
$257.63 |
1/1/2024 |
|
A0429 |
10212 |
01 |
1.60 |
0.997 |
$272.44 |
$443.69 |
$448.04 |
1/1/2024 |
|
A0429 |
10212 |
99 |
1.60 |
0.883 |
$272.44 |
$408.21 |
$412.21 |
1/1/2024 |
|
A0430 |
10212 |
01 |
1.00 |
0.997 |
$3,697.17 |
$3,691.62 |
$5,537.44 |
1/1/2024 |
|
A0430 |
10212 |
99 |
1.00 |
0.883 |
$3,697.17 |
$3,480.89 |
$5,221.33 |
1/1/2024 |
|
A0431 |
10212 |
01 |
1.00 |
0.997 |
$4,298.52 |
$4,292.07 |
$6,438.11 |
1/1/2024 |
|
A0431 |
10212 |
99 |
1.00 |
0.883 |
$4,298.52 |
$4,047.06 |
$6,070.58 |
1/1/2024 |
|
A0432 |
10212 |
01 |
1.75 |
0.997 |
$272.44 |
$485.28 |
$490.04 |
1/1/2024 |
|
A0432 |
10212 |
99 |
1.75 |
0.883 |
$272.44 |
$446.48 |
$450.85 |
1/1/2024 |
|
A0433 |
10212 |
01 |
2.75 |
0.997 |
$272.44 |
$762.59 |
$770.07 |
1/1/2024 |
|
A0433 |
10212 |
99 |
2.75 |
0.883 |
$272.44 |
$701.61 |
$708.49 |
1/1/2024 |
|
A0434 |
10212 |
01 |
3.25 |
0.997 |
$272.44 |
$901.24 |
$910.08 |
1/1/2024 |
|
A0434 |
10212 |
99 |
3.25 |
0.883 |
$272.44 |
$829.17 |
$837.30 |
1/1/2024 |
|
A0435 |
10212 |
01 |
1.00 |
0.997 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0435 |
10212 |
99 |
1.00 |
0.883 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0436 |
10212 |
01 |
1.00 |
0.997 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |
|
A0436 |
10212 |
99 |
1.00 |
0.883 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |
Tennessee
|
HCPCS |
Contractor Number |
Locality |
RVU |
GPCI |
Base Rate |
Urban Rate |
Rural Rate |
Effective Date |
|
A0425 |
10312 |
35 |
1.00 |
0.896 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0426 |
10312 |
35 |
1.20 |
0.896 |
$272.44 |
$309.19 |
$312.22 |
1/1/2024 |
|
A0427 |
10312 |
35 |
1.90 |
0.896 |
$272.44 |
$489.55 |
$494.35 |
1/1/2024 |
|
A0428 |
10312 |
35 |
1.00 |
0.896 |
$272.44 |
$257.66 |
$260.18 |
1/1/2024 |
|
A0429 |
10312 |
35 |
1.60 |
0.896 |
$272.44 |
$412.25 |
$416.30 |
1/1/2024 |
|
A0430 |
10312 |
35 |
1.00 |
0.896 |
$3,697.17 |
$3,504.92 |
$5,257.38 |
1/1/2024 |
|
A0431 |
10312 |
35 |
1.00 |
0.896 |
$4,298.52 |
$4,075.00 |
$6,112.50 |
1/1/2024 |
|
A0432 |
10312 |
35 |
1.75 |
0.896 |
$272.44 |
$450.90 |
$455.32 |
1/1/2024 |
|
A0433 |
10312 |
35 |
2.75 |
0.896 |
$272.44 |
$708.56 |
$715.51 |
1/1/2024 |
|
A0434 |
10312 |
35 |
3.25 |
0.896 |
$272.44 |
$837.39 |
$845.60 |
1/1/2024 |
|
A0435 |
10312 |
35 |
1.00 |
0.896 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0436 |
10312 |
35 |
1.00 |
0.896 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |