2017 Ambulance Fee Schedule
Ambulance fees are effective January 1, 2017.
North Carolina
HCPCS Codes
|
RVU
|
GPCI
|
Base Rate
|
Urban Rate
|
Rural Rate
|
Year
|
QTR
|
A0425
|
1.00
|
0.931
|
$7.15
|
$7.29
|
$7.36
|
2017
|
1
|
A0426
|
1.20
|
0.931
|
$222.29
|
$258.94
|
$261.48
|
2017
|
1
|
A0427
|
1.90
|
0.931
|
$222.29
|
$409.99
|
$414.01
|
2017
|
1
|
A0428
|
1.00
|
0.931
|
$222.29
|
$215.78
|
$217.90
|
2017
|
1
|
A0429
|
1.60
|
0.931
|
$222.29
|
$345.26
|
$348.64
|
2017
|
1
|
A0430
|
1.00
|
0.931
|
$3,016.51
|
$2,912.44
|
$4,368.66
|
2017
|
1
|
A0431
|
1.00
|
0.931
|
$3,507.14
|
$3,386.14
|
$5,079.22
|
2017
|
1
|
A0432
|
1.75
|
0.931
|
$222.29
|
$377.62
|
$381.32
|
2017
|
1
|
A0433
|
2.75
|
0.931
|
$222.29
|
$593.41
|
$599.22
|
2017
|
1
|
A0434
|
3.25
|
0.931
|
$222.29
|
$701.30
|
$708.17
|
2017
|
1
|
A0435
|
1.00
|
0.931
|
$8.56
|
$8.56
|
$12.84
|
2017
|
1
|
A0436
|
1.00
|
0.931
|
$22.84
|
$22.84
|
$34.26
|
2017
|
1
|
South Carolina
HCPCS Codes
|
RVU
|
GPCI
|
Base Rate
|
Urban Rate
|
Rural Rate
|
Year
|
QTR
|
A0425
|
1.00
|
0.912
|
$7.15
|
$7.29
|
$7.36
|
2017
|
1
|
A0426
|
1.20
|
0.912
|
$222.29
|
$255.32
|
$257.83
|
2017
|
1
|
A0427
|
1.90
|
0.912
|
$222.29
|
$404.26
|
$408.22
|
2017
|
1
|
A0428
|
1.00
|
0.912
|
$222.29
|
$212.77
|
$214.85
|
2017
|
1
|
A0429
|
1.60
|
0.912
|
$222.29
|
$340.43
|
$343.77
|
2017
|
1
|
A0430
|
1.00
|
0.912
|
$3,016.51
|
$2,883.78
|
$4,325.68
|
2017
|
1
|
A0431
|
1.00
|
0.912
|
$3,507.14
|
$3,352.83
|
$5,029.24
|
2017
|
1
|
A0432
|
1.75
|
0.912
|
$222.29
|
$372.35
|
$376.00
|
2017
|
1
|
A0433
|
2.75
|
0.912
|
$222.29
|
$585.11
|
$590.85
|
2017
|
1
|
A0434
|
3.25
|
0.912
|
$222.29
|
$691.50
|
$698.28
|
2017
|
1
|
A0435
|
1.00
|
0.912
|
$8.56
|
$8.56
|
$12.84
|
2017
|
1
|
A0436
|
1.00
|
0.912
|
$22.84
|
$22.84
|
$34.26
|
2017
|
1
|
Virginia
HCPCS Codes
|
RVU
|
GPCI
|
Base Rate
|
Urban Rate
|
Rural Rate
|
Year
|
QTR
|
A0425
|
1.00
|
0.985
|
$7.15
|
$7.29
|
$7.36
|
2017
|
1
|
A0426
|
1.20
|
0.985
|
$222.29
|
$269.23
|
$271.87
|
2017
|
1
|
A0427
|
1.90
|
0.985
|
$222.29
|
$426.27
|
$430.45
|
2017
|
1
|
A0428
|
1.00
|
0.985
|
$222.29
|
$224.36
|
$226.55
|
2017
|
1
|
A0429
|
1.60
|
0.985
|
$222.29
|
$358.97
|
$362.49
|
2017
|
1
|
A0430
|
1.00
|
0.985
|
$3,016.51
|
$2,993.89
|
$4,490.83
|
2017
|
1
|
A0431
|
1.00
|
0.985
|
$3,507.14
|
$3,480.84
|
$5,221.25
|
2017
|
1
|
A0432
|
1.75
|
0.985
|
$222.29
|
$392.62
|
$396.47
|
2017
|
1
|
A0433
|
2.75
|
0.985
|
$222.29
|
$616.98
|
$623.03
|
2017
|
1
|
A0434
|
3.25
|
0.985
|
$222.29
|
$729.15
|
$736.30
|
2017
|
1
|
A0435
|
1.00
|
0.985
|
$8.56
|
$8.56
|
$12.84
|
2017
|
1
|
A0436
|
1.00
|
0.985
|
$22.84
|
$22.84
|
$34.26
|
2017
|
1
|
West Virginia
HCPCS Codes
|
RVU
|
GPCI
|
Base Rate
|
Urban Rate
|
Rural Rate
|
Year
|
QTR
|
A0425
|
1.00
|
0.847
|
$7.15
|
$7.29
|
$7.36
|
2017
|
1
|
A0426
|
1.20
|
0.847
|
$222.29
|
$242.94
|
$245.32
|
2017
|
1
|
A0427
|
1.90
|
0.847
|
$222.29
|
$384.66
|
$388.43
|
2017
|
1
|
A0428
|
1.00
|
0.847
|
$222.29
|
$202.45
|
$204.44
|
2017
|
1
|
A0429
|
1.60
|
0.847
|
$222.29
|
$323.92
|
$327.10
|
2017
|
1
|
A0430
|
1.00
|
0.847
|
$3,016.51
|
$2,785.75
|
$4,178.62
|
2017
|
1
|
A0431
|
1.00
|
0.847
|
$3,507.14
|
$3,238.84
|
$4,858.27
|
2017
|
1
|
A0432
|
1.75
|
0.847
|
$222.29
|
$354.29
|
$357.77
|
2017
|
1
|
A0433
|
2.75
|
0.847
|
$222.29
|
$556.74
|
$562.20
|
2017
|
1
|
A0434
|
3.25
|
0.847
|
$222.29
|
$657.97
|
$664.42
|
2017
|
1
|
A0435
|
1.00
|
0.847
|
$8.56
|
$8.56
|
$12.84
|
2017
|
1
|
A0436
|
1.00
|
0.847
|
$22.84
|
$22.84
|
$34.26
|
2017
|
1
|