A0422 Medicaid Rate by State

Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation

17 state Medicaid programs publish a fee-for-service rate for A0422 (ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation), ranging from $1.00 in Virginia to $25.00 in West Virginia.

Every state, kept current

The Rates plan

$29/mo7-day free trial

This page shows one representative rate per state for A0422. Full schedules include every locality, modifier, and age-band variant.

  • Every code on all 51 published schedules
  • Full-schedule CSV export and state network lists
  • Email alerts when a state changes its rates
Start free trial

$29/mo after the trial. Cancel anytime.

Publishing states

17

Median % of Medicare

--

Rate range

$1.00 - $25.00

A0422 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$19.06----2026
California$9.98----2026
Colorado$15.72----2026
Delaware$12.00----2026
Iowa$13.05----2018
Indiana$14.70----2025
Kansas$10.00----1995
Missouri$20.60--Not required2019
Montana$15.12--Required2026
New Jersey$12.00--Not required2026
Oklahoma$13.30----2026
Texas$14.37*----2018
Virginia$1.00----2008
Vermont$19.26----2023
Wisconsin$23.96----2023
West Virginia$25.00----2026
Wyoming$24.38----2021

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related transport codes

All 22 codes from A0080 to A0998 or every transport code by number.

Frequently asked questions

How much does Medicaid pay for A0422?

17 state Medicaid programs publish a fee-for-service rate for A0422 (ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation), ranging from $1.00 in Virginia to $25.00 in West Virginia. The full table on this page lists every publishing state's current rate.

Which state pays the most for A0422?

West Virginia publishes the highest Medicaid rate for A0422 at $25.00. Virginia publishes the lowest at $1.00.

Does A0422 require prior authorization under Medicaid?

1 of the 17 publishing states flag A0422 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".