A0424 Medicaid reimbursement rates by state
Extra ambulance attendant, ground (als or bls) or air. 14 state Medicaid programs publish a fee-for-service rate for A0424. Rates run from $1.00 in Virginia to $48.00 in Kansas, with a median of $21.38.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $21.38units vary by state
- Highest
- $48.00Kansas
- Medicare (non-facility)
- —not on the physician fee schedule
A0424 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 |
|---|---|---|---|---|---|---|
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $48.00since 2003-12-30 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $37.47since 2023-02-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $32.59since 2011-07-11 | — | — | Not classified | — | SCDHHS Ambulance Fee Schedule (schedule |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $32.08since 2024-07-01 | — | — | Not classified | — | CMAP fee schedule: Transportation - Basi |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $25.25since 2003-06-01 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $25.02since 2018-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $23.18since 2019-07-01 | — | — | Paid by the state, outside plans | — | HCA Ambulance transportation fee schedul |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $19.58since 2014-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #11 AMBULANCE |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $19.36since 2012-09-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $16.44since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $14.33since 2026-01-01 | — | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $9.01since 2010-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix to OAC 5160-15-28 (final filed |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $6.66since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| 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 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 A0424?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $21.38. Kansas pays the most ($48.00) and Virginia the least ($1.00).
Which state pays the highest Medicaid rate for A0424?
Kansas, at $48.00, effective 2003-12-30.
Do managed-care plans pay the same rate for A0424?
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.