HCPCS A0436 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Ambulance and Other Transport Services and Supplies |
| Complexity Level | Low |
National average reimbursement for HCPCS A0436 by major payers:
$58.70
$24.00
$57.10
$69.49
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A0436 | ||||||
United | A0436 | $23.82 | 1366933186 - BENJAMIN ABNEY | 251857035 | CA | Anesthesiology Physician (207L00000X) |
United | A0436 | $23.82 | 1255534988 - ROBERT BASSETT | 232691968 - ARIA HEALTH PHYSICIAN SERVICES | PA | Emergency Medicine Physician (207P00000X) |
United | A0436 | $16.79 | 1588980544 - GILLIAN BEAUCHAMP | 232700908 - (PA) LEHIGH VALLEY PHYSICIAN GROUP | PA | Emergency Medicine Physician (207P00000X) |
United | A0436 | $23.82 | 1023317534 - ADAM SETREN | 231633403 - (PA) ASSOCIATES IN ANESTHESIA, INC. | PA | Anesthesiology Physician (207L00000X) |
United | A0436 | $14.30 | 1851597405 - KATE DEWAR | 232380812 - ST LUKES PHYSICIAN GROUP INC | PA | Emergency Medicine Physician (207P00000X) |
United | A0436 | $23.35 | 1730574591 - PATRICK ROTH | 540505913 - (VA) BATH COUNTY COMMUNITY HOSPITAL | PA | Diagnostic Radiology Physician (2085R0202X) |
United | A0436 | $14.30 | 1295295798 - NATALIE SENTER | 240798839 - (PA) WAYNE MEMORIAL HOSPITAL | PA | Emergency Medicine Physician (207P00000X) |
United | A0436 | $25.28 | 1629064985 - MARK ZEMANICK | 251838458 - HIGHMARK HEALTH | PA | Anesthesiology Physician (207L00000X) |
United | A0436 | $14.30 | 1346227493 - DALTON DANIEL | 1346227493 - (VA) DALTON DANIEL | VA | Diagnostic Radiology Physician (2085R0202X) |
United | A0436 | $23.82 | 1104138460 - BUNTY SHAH | 251857035 | PA | Anesthesiology Physician (207L00000X) |
United | A0436 | $23.82 | 1790731818 - MERITA BANIA | 150532180 - (NY) CHENANGO MEMORIAL HOSPITAL INC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | A0436 | $25.93 | 1245435940 - BRENDAN MULLEN | 251838458 - HIGHMARK HEALTH | PA | Diagnostic Radiology Physician (2085R0202X) |
United | A0436 | $23.82 | 1538562665 - DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC, CONEMAUGH EMERGENCY PHYSICIANS GROUP | 611739000 | PA | Emergency Medicine Physician (207P00000X) |
United | A0436 | $23.82 | 1063875243 - MICHAEL COUSAR | 232743545 | PA | Diagnostic Radiology Physician (2085R0202X) |
United | A0436 | $37.16 | 1063708766 - AARON RATNER | 10238552 - MAINEHEALTH | ME | Emergency Medicine Physician (207P00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A0436) and we'll show you how you compare in 15 minutes or less.