A0422 Medicaid reimbursement rates by state
Ambulance (als or bls) oxygen and oxygen supplies. 23 state Medicaid programs publish a fee-for-service rate for A0422. Rates run from $1.00 in Virginia to $176.60 in Louisiana, with a median of $14.44.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $14.44units vary by state
- Highest
- $176.60Louisiana
- Medicare (non-facility)
- —not on the physician fee schedule
A0422 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $176.60⚠ over 3× mediansince 2023-07-01 | — | — | Plans must pay at least this | — | LDH Medicaid Emergency Ground Ambulance |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $25.00since 2023-04-01 | — | — | Not classified | — | BMS Ambulance Fee Schedule Effective 4/1 |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $24.38since 2021-07-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $22.16since 2009-05-25 | — | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $20.60since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $19.26since 2023-07-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $19.06since 2025-05-16 | — | — | Not classified | — | Arkansas Medicaid Transportation Fee Sch |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $15.12since 2025-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $15.00since 2021-10-01 | — | — | Not classified | — | Ambulance Reimbursement Rates |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded) | $14.58since 2006-10-01 | — | — | Not classified | — | ForwardHealth max fee schedule: Renal Di |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $14.54since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $14.44since 2021-07-01 | — | — | Paid by the state, outside plans | — | Health First Colorado Physician Fee Sche |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $14.37since 2018-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $13.30since 2024-01-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $13.05since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #11 AMBULANCE |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $12.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $12.00since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | DMAP 2024 Physician Fee Schedule |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $11.66since 2005-07-01 | — | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $11.28since 2018-07-01 | — | — | Plans negotiate; applies out of network | — | HFS Transportation Fee Schedule (effecti |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $10.00since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Transportation fee schedule |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $10.00since 2003-12-30 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $9.98since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1.00since 2008-04-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for A0422?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $14.44. Louisiana pays the most ($176.60) and Virginia the least ($1.00).
Which state pays the highest Medicaid rate for A0422?
Louisiana, at $176.60, effective 2023-07-01.
Do managed-care plans pay the same rate for A0422?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.
Related Transportation codes
A0429Ambulance service, basic life support, emergency transport · 47 statesA0428Ambulance service, basic life support · 46 statesA0425Ground mileage, per statute mile · 45 statesA0427Ambulance service, advanced life support · 45 statesA0431Ambulance service, conventional air services, transport · 45 statesA0426Ambulance service, advanced life support · 42 statesA0436Rotary wing air mileage, per statute mile · 41 statesA0430Ambulance service, conventional air services, transport · 40 statesA0433Advanced life support, level 2 (als 2) · 39 statesA0435Fixed wing air mileage, per statute mile · 37 statesA0434Specialty care transport (sct) · 35 statesT2003Non-emergency transportation; encounter/trip · 32 states
Track A0422 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.