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See a sample rate comparisonHCPCS A0398 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 routine disposable supplies
| Key Fact | Detail |
|---|---|
| Service Type | Ambulance and Other Transport Services and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A0398 |
National average reimbursement for HCPCS A0398 by major payers:
$12.33
$8.27
$8.17
$21.51
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HCPCS A0398
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$20.81Published rateEmory Crawford Long Hospital
Emory University
$10.17Published rateChu Chen
$8.77Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$7.92Published rateKevin Schlessel
$6.40Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A0398 vs. Other Ambulance and Other Transport Services and Supplies Codes
The HCPCS A0398 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 A0398 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 |
|---|---|---|
| A0396-HCPCS | Low | ALS specialized service disposable supplies; esophageal intubation |
| A0398-HCPCS | Low | ALS routine disposable supplies |
| A0420-HCPCS | Low | Ambulance waiting time (ALS or BLS), one half (1/2) hour increments |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A0398. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A0398 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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