A0433 Medicaid reimbursement rates by state
Advanced life support, level 2 (als 2). 20 state Medicaid programs publish a fee-for-service rate for A0433. Rates run from $118.20 in California to $1,024.45 in Louisiana, with a median of $419.20.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 20
- Median rate
- $419.20units vary by state
- Highest
- $1,024.45Louisiana
- Medicare (non-facility)
- —not on the physician fee schedule
A0433 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) | $1,024.45since 2023-07-01 | — | — | Plans must pay at least this | — | LDH Medicaid Emergency Ground Ambulance |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $966.01since 2024-01-01 | — | — | Plans must pay at least this | — | 54 Pa.B. 1024 Medical Assistance Program |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $845.14since 2020-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Other Ground Emergency Transp |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $782.54since 2026-01-01 | — | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $739.81since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $638.53since 2023-02-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $627.08since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $574.40since 2025-09-26 | — | — | Plans negotiate; applies out of network | — | Rates for Ambulance and Wheelchair Van S |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $439.52since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Part II Policies and Procedures for Emer |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $429.00since 2023-07-01 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $409.40since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Ambulance Fee Schedule database, O |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $387.24since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $349.50since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix to OAC 5160-15-28 (final filed |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $280.74since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Transportation Services Fee Schedule (Tr |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $226.52since 2018-07-01 | — | — | Plans negotiate; applies out of network | — | HFS Transportation Fee Schedule (effecti |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $222.39since 2021-07-01 | — | — | Paid by the state, outside plans | — | Health First Colorado Physician Fee Sche |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $215.20since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $168.43since 2019-07-01 | — | — | Paid by the state, outside plans | — | HCA Ambulance transportation fee schedul |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $129.36since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Ambulance Serv |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $118.20since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
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 A0433?
It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $419.20. Louisiana pays the most ($1,024.45) and California the least ($118.20).
Which state pays the highest Medicaid rate for A0433?
Louisiana, at $1,024.45, effective 2023-07-01.
Do managed-care plans pay the same rate for A0433?
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 · 23 statesA0427Ambulance service, advanced life support · 22 statesA0428Ambulance service, basic life support · 22 statesA0431Ambulance service, conventional air services, transport · 22 statesA0425Ground mileage, per statute mile · 21 statesA0430Ambulance service, conventional air services, transport · 21 statesA0426Ambulance service, advanced life support · 20 statesA0436Rotary wing air mileage, per statute mile · 19 statesA0434Specialty care transport (sct) · 18 statesA0435Fixed wing air mileage, per statute mile · 18 statesT2003Non-emergency transportation; encounter/trip · 17 statesA0130Non-emergency transportation: wheelchair van · 14 states
Track A0433 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.