2024 Ambulance Fee Schedule
Effective January 1, 2024.
North Carolina
|
HCPCS |
Contractor Number |
Locality |
RVU |
GPCI |
Base Rate |
Urban Rate |
Rural Rate |
Effective Date |
|
A0425 |
11502 |
00 |
1.00 |
0.926 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0426 |
11502 |
00 |
1.20 |
0.926 |
$272.44 |
$316.19 |
$319.29 |
1/1/2024 |
|
A0427 |
11502 |
00 |
1.90 |
0.926 |
$272.44 |
$500.64 |
$505.55 |
1/1/2024 |
|
A0428 |
11502 |
00 |
1.00 |
0.926 |
$272.44 |
$263.49 |
$266.08 |
1/1/2024 |
|
A0429 |
11502 |
00 |
1.60 |
0.926 |
$272.44 |
$421.59 |
$425.72 |
1/1/2024 |
|
A0430 |
11502 |
00 |
1.00 |
0.926 |
$3,697.17 |
$3,560.37 |
$5,340.56 |
1/1/2024 |
|
A0431 |
11502 |
00 |
1.00 |
0.926 |
$4,298.52 |
$4,139.47 |
$6,209.21 |
1/1/2024 |
|
A0432 |
11502 |
00 |
1.75 |
0.926 |
$272.44 |
$461.11 |
$465.64 |
1/1/2024 |
|
A0433 |
11502 |
00 |
2.75 |
0.926 |
$272.44 |
$724.61 |
$731.71 |
1/1/2024 |
|
A0434 |
11502 |
00 |
3.25 |
0.926 |
$272.44 |
$856.36 |
$864.75 |
1/1/2024 |
|
A0435 |
11502 |
00 |
1.00 |
0.926 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0436 |
11502 |
00 |
1.00 |
0.926 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |
South Carolina
|
HCPCS |
Contractor Number |
Locality |
RVU |
GPCI |
Base Rate |
Urban Rate |
Rural Rate |
Effective Date |
|
A0425 |
11202 |
01 |
1.00 |
0.913 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0426 |
11202 |
01 |
1.20 |
0.913 |
$272.44 |
$313.16 |
$316.23 |
1/1/2024 |
|
A0427 |
11202 |
01 |
1.90 |
0.913 |
$272.44 |
$495.83 |
$500.70 |
1/1/2024 |
|
A0428 |
11202 |
01 |
1.00 |
0.913 |
$272.44 |
$260.97 |
$263.52 |
1/1/2024 |
|
A0429 |
11202 |
01 |
1.60 |
0.913 |
$272.44 |
$417.54 |
$421.64 |
1/1/2024 |
|
A0430 |
11202 |
01 |
1.00 |
0.913 |
$3,697.17 |
$3,536.34 |
$5,304.51 |
1/1/2024 |
|
A0431 |
11202 |
01 |
1.00 |
0.913 |
$4,298.52 |
$4,111.53 |
$6,167.30 |
1/1/2024 |
|
A0432 |
11202 |
01 |
1.75 |
0.913 |
$272.44 |
$456.69 |
$461.17 |
1/1/2024 |
|
A0433 |
11202 |
01 |
2.75 |
0.913 |
$272.44 |
$717.65 |
$724.69 |
1/1/2024 |
|
A0434 |
11202 |
01 |
3.25 |
0.913 |
$272.44 |
$848.14 |
$856.45 |
1/1/2024 |
|
A0435 |
11202 |
01 |
1.00 |
0.913 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0436 |
11202 |
01 |
1.00 |
0.913 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |
Virginia
|
HCPCS |
Contractor Number |
Locality |
RVU |
GPCI |
Base Rate |
Urban Rate |
Rural Rate |
Effective Date |
|
A0425 |
11302 |
00 |
1.00 |
0.984 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0426 |
11302 |
00 |
1.20 |
0.984 |
$272.44 |
$329.73 |
$332.96 |
1/1/2024 |
|
A0427 |
11302 |
00 |
1.90 |
0.984 |
$272.44 |
$522.08 |
$527.19 |
1/1/2024 |
|
A0428 |
11302 |
00 |
1.00 |
0.984 |
$272.44 |
$274.78 |
$277.47 |
1/1/2024 |
|
A0429 |
11302 |
00 |
1.60 |
0.984 |
$272.44 |
$439.64 |
$443.95 |
1/1/2024 |
|
A0430 |
11302 |
00 |
1.00 |
0.984 |
$3,697.17 |
$3,667.59 |
$5,501.39 |
1/1/2024 |
|
A0431 |
11302 |
00 |
1.00 |
0.984 |
$4,298.52 |
$4,264.13 |
$6,396.20 |
1/1/2024 |
|
A0432 |
11302 |
00 |
1.75 |
0.984 |
$272.44 |
$480.86 |
$485.57 |
1/1/2024 |
|
A0433 |
11302 |
00 |
2.75 |
0.984 |
$272.44 |
$755.64 |
$763.04 |
1/1/2024 |
|
A0434 |
11302 |
00 |
3.25 |
0.984 |
$272.44 |
$893.02 |
$901.78 |
1/1/2024 |
|
A0435 |
11302 |
00 |
1.00 |
0.984 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0436 |
11302 |
00 |
1.00 |
0.984 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |
West Virginia
|
HCPCS |
Contractor Number |
Locality |
RVU |
GPCI |
Base Rate |
Urban Rate |
Rural Rate |
Effective Date |
|
A0425 |
11402 |
16 |
1.00 |
0.862 |
$8.76 |
$8.94 |
$9.02 |
1/1/2024 |
|
A0426 |
11402 |
16 |
1.20 |
0.862 |
$272.44 |
$301.25 |
$304.21 |
1/1/2024 |
|
A0427 |
11402 |
16 |
1.90 |
0.862 |
$272.44 |
$476.99 |
$481.66 |
1/1/2024 |
|
A0428 |
11402 |
16 |
1.00 |
0.862 |
$272.44 |
$251.04 |
$253.51 |
1/1/2024 |
|
A0429 |
11402 |
16 |
1.60 |
0.862 |
$272.44 |
$401.67 |
$405.61 |
1/1/2024 |
|
A0430 |
11402 |
16 |
1.00 |
0.862 |
$3,697.17 |
$3,442.07 |
$5,163.10 |
1/1/2024 |
|
A0431 |
11402 |
16 |
1.00 |
0.862 |
$4,298.52 |
$4,001.92 |
$6,002.88 |
1/1/2024 |
|
A0432 |
11402 |
16 |
1.75 |
0.862 |
$272.44 |
$439.33 |
$443.64 |
1/1/2024 |
|
A0433 |
11402 |
16 |
2.75 |
0.862 |
$272.44 |
$690.37 |
$697.14 |
1/1/2024 |
|
A0434 |
11402 |
16 |
3.25 |
0.862 |
$272.44 |
$815.90 |
$823.89 |
1/1/2024 |
|
A0435 |
11402 |
16 |
1.00 |
0.862 |
$10.50 |
$10.50 |
$15.75 |
1/1/2024 |
|
A0436 |
11402 |
16 |
1.00 |
0.862 |
$27.99 |
$27.99 |
$41.99 |
1/1/2024 |