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2018 Ambulance Fee Schedule: Revised

Posted on January 8, 2018June 13, 2018 by Dave Pickren

2018 Ambulance Fee Schedule: Revised

Effective: January 1, 2018
 
North Carolina
HCPCS Code
Contractor
Locality
RVU
GPCI(PE)
Base Rate
Urban Rate
Rural Rate
A0425
11502
00
1.00
0.931
$7.23
$7.37
$7.45
A0426
11502
00
1.20
0.931
$224.74
$261.80
$264.36
A0427
11502
00
1.90
0.931
$224.74
$414.51
$418.57
A0428
11502
00
1.00
0.931
$224.74
$218.16
$220.30
A0429
11502
00
1.60
0.931
$224.74
$349.06
$352.48
A0430
11502
00
1.00
0.931
$3,049.69
$2,944.48
$4,416.71
A0431
11502
00
1.00
0.931
$3,545.72
$3,423.39
$5,135.09
A0432
11502
00
1.75
0.931
$224.74
$381.78
$385.53
A0433
11502
00
2.75
0.931
$224.74
$599.95
$605.83
A0434
11502
00
3.25
0.931
$224.74
$709.03
$715.98
A0435
11502
00
1.00
0.931
$8.65
$8.65
$12.98
A0436
11502
00
1.00
0.931
$23.09
$23.09
$34.64
South Carolina
HCPCS Code
Contractor
Locality
RVU
GPCI(PE)
Base Rate
Urban Rate
Rural Rate
A0425
11202
01
1.00
0.912
$7.23
$7.37
$7.45
A0426
11202
01
1.20
0.912
$224.74
$258.14
$260.67
A0427
11202
01
1.90
0.912
$224.74
$408.72
$412.72
A0428
11202
01
1.00
0.912
$224.74
$215.11
$217.22
A0429
11202
01
1.60
0.912
$224.74
$344.18
$347.56
A0430
11202
01
1.00
0.912
$3,049.69
$2,915.50
$4,373.26
A0431
11202
01
1.00
0.912
$3,545.72
$3,389.71
$5,084.56
A0432
11202
01
1.75
0.912
$224.74
$376.45
$380.14
A0433
11202
01
2.75
0.912
$224.74
$591.56
$597.36
A0434
11202
01
3.25
0.912
$224.74
$699.12
$705.97
A0435
11202
01
1.00
0.912
$8.65
$8.65
$12.98
A0436
11202
01
1.00
0.912
$23.09
$23.09
$34.64
Virginia
HCPCS Code
Contractor
Locality
RVU
GPCI(PE)
Base Rate
Urban Rate
Rural Rate
A0425
11302
00
1.00
0.986
$7.23
$7.37
$7.45
A0426
11302
00
1.20
0.986
$224.74
$272.39
$275.06
A0427
11302
00
1.90
0.986
$224.74
$431.28
$435.51
A0428
11302
00
1.00
0.986
$224.74
$226.99
$229.21
A0429
11302
00
1.60
0.986
$224.74
$363.18
$366.74
A0430
11302
00
1.00
0.986
$3,049.69
$3,028.34
$4,542.51
A0431
11302
00
1.00
0.986
$3,545.72
$3,520.90
$5,281.35
A0432
11302
00
1.75
0.986
$224.74
$397.23
$401.12
A0433
11302
00
2.75
0.986
$224.74
$624.22
$630.34
A0434
11302
00
3.25
0.986
$224.74
$737.71
$744.94
A0435
11302
00
1.00
0.986
$8.65
$8.65
$12.98
A0436
11302
00
1.00
0.986
$23.09
$23.09
$34.64
West Virginia
HCPCS Code
Contractor
Locality
RVU
GPCI(PE)
Base Rate
Urban Rate
Rural Rate
A0425
11402
16
1.00
0.857
$7.23
$7.37
$7.45
A0426
11402
16
1.20
0.857
$224.74
$247.55
$249.97
A0427
11402
16
1.90
0.857
$224.74
$391.95
$395.79
A0428
11402
16
1.00
0.857
$224.74
$206.29
$208.31
A0429
11402
16
1.60
0.857
$224.74
$330.06
$333.30
A0430
11402
16
1.00
0.857
$3,049.69
$2,831.64
$4,247.46
A0431
11402
16
1.00
0.857
$3,545.72
$3,292.20
$4,938.30
A0432
11402
16
1.75
0.857
$224.74
$361.00
$364.54
A0433
11402
16
2.75
0.857
$224.74
$567.29
$572.85
A0434
11402
16
3.25
0.857
$224.74
$670.44
$677.01
A0435
11402
16
1.00
0.857
$8.65
$8.65
$12.98
A0436
11402
16
1.00
0.857
$23.09
$23.09
$34.64

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