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See a sample rate comparisonHCPCS A0396 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
ALS specialized service disposable supplies; esophageal intubation
| Key Fact | Detail |
|---|---|
| Service Type | Ambulance and Other Transport Services and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A0396 |
National average reimbursement for HCPCS A0396 by major payers:
$37.11
$33.05
$29.21
$30.81
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HCPCS A0396
5 of 25 sample ratesHigher to lower in this preview
Carson Medical Group Professional Corporation
Carson Medical Group
$84.14Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$35.49Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$31.70Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$31.61Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$18.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A0396 vs. Other Ambulance and Other Transport Services and Supplies Codes
The HCPCS A0396 code is part of the Ambulance and Other Transport Services and Supplies services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A0396 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A0394-HCPCS | Low | ALS specialized service disposable supplies; IV drug therapy |
| A0396-HCPCS | Low | ALS specialized service disposable supplies; esophageal intubation |
| A0398-HCPCS | Low | ALS routine disposable supplies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A0396. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A0396 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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