Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A0428. 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
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Publishing states
37
Median % of Medicare
--
Rate range
$35.00 - $409.06
A0428 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $233.97 | -- | -- | 2026 |
| Arkansas | $141.25 | -- | -- | 2026 |
| Arizona | $409.06 | -- | -- | 2025 |
| California | $107.16 | -- | -- | 2026 |
| Colorado | $180.88 | -- | -- | 2026 |
| Connecticut | $220.44 | -- | -- | 2024 |
| District of Columbia | $261.14 | -- | Varies | 2026 |
| Delaware | $35.00 | -- | -- | 2026 |
| Hawaii | $204.74 | -- | -- | 2025 |
| Iowa | $84.67 | -- | -- | 2016 |
| Idaho | $232.28 | -- | Required | 2025 |
| Indiana | $269.02 | -- | -- | 2026 |
| Kansas | $255.70 | -- | -- | 2023 |
| Louisiana | $165.96 | -- | -- | 2026 |
| Massachusetts | $208.87 | -- | -- | 2025 |
| Maine | $313.02 | -- | -- | 2026 |
| Michigan | $265.54 | -- | -- | 2026 |
| Minnesota | $284.56 | -- | Conditional | 2026 |
| Missouri | $105.62* | -- | Not required | 2026 |
| Mississippi | $148.94 | -- | -- | 2020 |
| Montana | $158.36 | -- | Required | 2026 |
| North Carolina | $70.75 | -- | -- | 2025 |
| North Dakota | $329.75 | -- | Not required | 2026 |
| Nebraska | $154.89 | -- | -- | 2026 |
| New Hampshire | $277.68 | -- | Not required | 2026 |
| New Jersey | $58.00 | -- | Not required | 2026 |
| New Mexico | $389.99 | -- | -- | 2026 |
| Nevada | $175.71 | -- | -- | 2013 |
| New York | $219.58 | -- | -- | 2026 |
| Oklahoma | $179.08 | -- | -- | 2026 |
| Rhode Island | $95.02 | -- | -- | 2026 |
| Texas | $186.00* | -- | -- | 2018 |
| Vermont | $270.28 | -- | -- | 2023 |
| Washington | $207.61 | -- | -- | 2026 |
| Wisconsin | $232.19 | -- | -- | 2023 |
| West Virginia | $266.22 | -- | -- | 2026 |
| Wyoming | $153.29 | -- | -- | 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
- A0080 - Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest
- A0090 - Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest
- A0100 - Non-emergency transportation; taxi
- A0110 - Non-emergency transportation and bus, intra or inter state carrier
- A0120 - Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems
- A0130 - Non-emergency transportation: wheelchair van
- A0225 - Ambulance service, neonatal transport, base rate, emergency transport, one way
- A0420 - Ambulance waiting time (als or bls), one half (1/2) hour increments
All 22 codes from A0080 to A0998 or every transport code by number.
Frequently asked questions
How much does Medicaid pay for A0428?
37 state Medicaid programs publish a fee-for-service rate for A0428 (ambulance service, basic life support, non-emergency transport, (bls)), ranging from $35.00 in Delaware to $409.06 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for A0428?
Arizona publishes the highest Medicaid rate for A0428 at $409.06. Delaware publishes the lowest at $35.00.
Does A0428 require prior authorization under Medicaid?
3 of the 37 publishing states flag A0428 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".