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Ohio Part B Carrier
2009 Ambulance Fee Schedule

Effective January 1, 2009.

HCPCS Codes
Base RVU
Non-Facility PE GPCI
Conversion Factor
Urban Mileage
Rural Mileage
A0425
100
927
6.74
$6.87
$6.94
A0426
120
927
209.65
$243.50
$245.89
A0427
190
927
209.65
$385.54
$389.32
A0428
100
927
209.65
$202.92
$204.90
A0429
160
927
209.65
$324.66
$327.85
A0430
100
927
2845.14
$2741.29
$4111.94
A0431
100
927
3307.89
$3187.15
$4780.73
A0432
175
927
209.65
$355.10
$358.58
A0433
275
927
209.65
$558.02
$563.49
A0434
325
927
209.65
$659.48
$665.94
A0435
100
927
8.07
$8.07
$12.11
A0436
100
927
21.53
$21.53
$32.30

 

last updated on 12/18/2008
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