2020 Ambulance Fee Schedule

Effective January 1, 2020.

Alabama

HCPCS
Contractor
Locality
RVU
GPCI(PE)
Base Rate
Urban Rate
Rural Rate
A0425
10112
0
1.00
0.889
7.47
$7.62
$7.69
A0426
10112
0
1.20
0.889
231.98
$261.88
$264.45
A0427
10112
0
1.90
0.889
231.98
$414.65
$418.71
A0428
10112
0
1.00
0.889
231.98
$218.23
$220.37
A0429
10112
0
1.60
0.889
231.98
$349.17
$352.60
A0430
10112
0
1.00
0.889
3147.91
$2,973.20
$4,459.80
A0431
10112
0
1.00
0.889
3659.92
$3,456.79
$5,185.19
A0432
10112
0
1.75
0.889
231.98
$381.91
$385.65
A0433
10112
0
2.75
0.889
231.98
$600.14
$606.03
A0434
10112
0
3.25
0.889
231.98
$709.26
$716.21
A0435
10112
0
1.00
0.889
8.93
$8.93
$13.40
A0436
10112
0
1.00
0.889
23.83
$23.83
$35.75

Georgia

HCPCS
Contractor
Locality
RVU
GPCI(PE)
Base Rate
Urban Rate
Rural Rate
A0425
10212
1
1.00
0.998
7.47
$7.62
$7.69
A0425
10212
99
1.00
0.889
7.47
$7.62
$7.69
A0426
10212
1
1.20
0.998
231.98
$283.55
$286.33
A0426
10212
99
1.20
0.889
231.98
$261.88
$264.45
A0427
10212
1
1.90
0.998
231.98
$448.95
$453.35
A0427
10212
99
1.90
0.889
231.98
$414.65
$418.71
A0428
10212
1
1.00
0.998
231.98
$236.29
$238.60
A0428
10212
99
1.00
0.889
231.98
$218.23
$220.37
A0429
10212
1
1.60
0.998
231.98
$378.06
$381.77
A0429
10212
99
1.60
0.889
231.98
$349.17
$352.60
A0430
10212
1
1.00
0.998
3147.91
$3,144.76
$4,717.14
A0430
10212
99
1.00
0.889
3147.91
$2,973.20
$4,459.80
A0431
10212
1
1.00
0.998
3659.92
$3,656.26
$5,484.39
A0431
10212
99
1.00
0.889
3659.92
$3,456.79
$5,185.19
A0432
10212
1
1.75
0.998
231.98
$413.50
$417.56
A0432
10212
99
1.75
0.889
231.98
$381.91
$385.65
A0433
10212
1
2.75
0.998
231.98
$649.79
$656.16
A0433
10212
99
2.75
0.889
231.98
$600.14
$606.03
A0434
10212
1
3.25
0.998
231.98
$767.94
$775.47
A0434
10212
99
3.25
0.889
231.98
$709.26
$716.21
A0435
10212
1
1.00
0.998
8.93
$8.93
$13.40
A0435
10212
99
1.00
0.889
8.93
$8.93
$13.40
A0436
10212
1
1.00
0.998
23.83
$23.83
$35.75
A0436
10212
99
1.00
0.889
23.83
$23.83
$35.75

Tennessee

HCPCS
Contractor
Locality
RVU
GPCI(PE)
Base Rate
Urban Rate
Rural Rate
A0425
10312
35
1.00
0.897
7.47
$7.62
$7.69
A0426
10312
35
1.20
0.897
231.98
$263.47
$266.05
A0427
10312
35
1.90
0.897
231.98
$417.16
$421.25
A0428
10312
35
1.00
0.897
231.98
$219.56
$221.71
A0429
10312
35
1.60
0.897
231.98
$351.29
$354.74
A0430
10312
35
1.00
0.897
3147.91
$2,985.79
$4,478.69
A0431
10312
35
1.00
0.897
3659.92
$3,471.43
$5,207.15
A0432
10312
35
1.75
0.897
231.98
$384.23
$388.00
A0433
10312
35
2.75
0.897
231.98
$603.79
$609.71
A0434
10312
35
3.25
0.897
231.98
$713.57
$720.56
A0435
10312
35
1.00
0.897
8.93
$8.93
$13.40
A0436
10312
35
1.00
0.897
23.83
$23.83
$35.75