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See a sample rate comparisonHCPCS A0436 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.
Rotary wing air mileage, per statute mile
| Key Fact | Detail |
|---|---|
| Service Type | Ambulance and Other Transport Services and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A0436 |
National average reimbursement for HCPCS A0436 by major payers:
$58.70
$24.00
$57.10
$69.49
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HCPCS A0436
5 of 25 sample ratesHigher to lower in this preview
Beth Zigmund
University Of Vermont Medical Center Inc
$109.12Published rateRakhi Pal
Westchester Medical Center Advanced Physician Services, P.C
$29.56Published rateWilliam Passodelis
$23.82Published rateObinna Orji
Lehigh Valley Physician Group
$16.79Published rateWayne Wang
$12.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A0436 vs. Other Ambulance and Other Transport Services and Supplies Codes
The HCPCS A0436 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 A0436 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 |
|---|---|---|
| A0435-HCPCS | Low | Fixed wing air mileage, per statute mile |
| A0436-HCPCS | Low | Rotary wing air mileage, per statute mile |
| A0888-HCPCS | Low | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A0436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A0436 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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