| Code | Description | States | Median rate |
|---|---|---|---|
| A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | 11 | $0.50 |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 14 | $0.51 |
| A0100 | Non-emergency transportation; taxi | 17 | $5.20 |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | 12 | $21.65 |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 19 | $14.55 |
| A0130 | Non-emergency transportation: wheelchair van | 24 | $20.30 |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 18 | $220.51 |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 20 | $19.99 |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 17 | $14.91 |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 15 | $28.63 |
| A0425 | Ground mileage, per statute mile | 38 | $6.84 |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 35 | $278.74 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 35 | $416.50 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 37 | $208.87 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 36 | $344.60 |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 34 | $3,064.19 |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 38 | $3,341.71 |
| A0433 | Advanced life support, level 2 (als 2) | 31 | $571.45 |
| A0434 | Specialty care transport (sct) | 27 | $575.70 |
| A0435 | Fixed wing air mileage, per statute mile | 31 | $10.96 |
| A0436 | Rotary wing air mileage, per statute mile | 34 | $26.00 |
| A0998 | Ambulance response and treatment, no transport | 23 | $140.55 |
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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.