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See a sample rate comparisonHCPCS A0428 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.
Ambulance service, basic life support, non-emergency transport, (BLS)
| Key Fact | Detail |
|---|---|
| Service Type | Ambulance and Other Transport Services and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for A0428 |
National average reimbursement for HCPCS A0428 by major payers:
$330.92
$239.39
$244.77
$278.39
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HCPCS A0428
5 of 25 sample ratesHigher to lower in this preview
Elizabeth Schell
Geisinger Clinic
$482.54Published rateBon Ku
Jefferson University Physicians
$249.69Published rateMichael Marenchic
$226.17Published rateMatthew Kiley
UPMC
$205.67Published rateShaymaa Ashi
St Lukes Physician Group Inc
$135.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A0428 vs. Other Ambulance and Other Transport Services and Supplies Codes
The HCPCS A0428 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 A0428 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 |
|---|---|---|
| A0427-HCPCS | Moderate | Ambulance service, advanced life support, emergency transport, level 1 (ALS 1-emergency) |
| A0428-HCPCS | Moderate | Ambulance service, basic life support, non-emergency transport, (BLS) |
| A0429-HCPCS | Moderate | Ambulance service, basic life support, emergency transport (BLS-emergency) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A0428. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A0428 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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