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A0426 Medicaid reimbursement rates by state

Ambulance service, advanced life support. 42 state Medicaid programs publish a fee-for-service rate for A0426. Rates run from $69.95 in Rhode Island to $845.14 in Arizona, with a median of $253.19.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
42
Median rate
$253.19units vary by state
Highest
$845.14Arizona
Medicare (non-facility)
—not on the physician fee schedule

A0426 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$845.14⚠ over 3× mediansince 2020-10-01——Plans negotiate; applies out of network—AHCCCS FFS Other Ground Emergency Transp
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$421.54since 2024-01-01——Plans must pay at least this—54 Pa.B. 1024 Medical Assistance Program
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$395.69since 2026-07-01——Not classified—ND Medicaid Ambulance Services Fee Sched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$387.24since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$341.47since 2026-01-01——Plans must pay at least this—MHCP Fee Schedule - Current Fee Schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$333.21since 2023-10-01——Plans must pay at least this—2026 Fee Schedule - Covered Procedures R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$328.80since 2026-01-01——Not classified—MaineCare Section 5 - Ambulance Services
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$328.31since 2023-10-01——Plans negotiate; applies out of network—MDHHS Ambulance Fee Schedule database, O
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$324.34since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$322.83since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$319.46since 2026-04-01——Paid by the state, outside plans—BMS Ambulance Fee Schedule Effective 4/1
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$313.36since 2026-04-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$306.84since 2023-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$280.76since 2025-07-01——Not classified—Alaska Medicaid Transportation and Accom
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$278.74since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$278.64since 2023-02-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Transpor
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$276.23since 2023-07-01——Paid by the state, outside plans—HCA Ambulance transportation fee schedul
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$273.64since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ambul
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$266.91since 2025-05-16——Not classified—Arkansas Medicaid Transportation Fee Sch
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$264.53since 2024-07-01——Not classified—CMAP fee schedule: Transportation - Basi
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$255.72since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Emer
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$250.65since 2025-09-26——Plans negotiate; applies out of network—Rates for Ambulance and Wheelchair Van S
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$245.70since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$244.50since 2024-01-01——Plans negotiate; applies out of network—Appendix to OAC 5160-15-28 (final filed
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$239.10since 2018-07-01——Plans negotiate; applies out of network—HFS Transportation Fee Schedule (effecti
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$233.99since 2025-01-01——Plans must pay at least this—Medicaid Transportation Fee Schedule - E
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker)$227.48since 2022-04-01——Paid by the state, outside plans—eMedNY NYS Medicaid Transportation Fee S
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$219.73since 2013-07-01——Paid by the state, outside plans—Provider Type 32, Specialty 932 Ambulanc
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$192.73since 2026-01-01——Plans negotiate; applies out of network—Transportation Services Fee Schedule (Tr
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$190.05since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$183.94since 2021-01-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$179.08since 2024-01-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$172.26since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Ambulance
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$170.00since 2021-10-01——Not classified—Ambulance Reimbursement Rates
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$168.06since 2026-07-01——Not classified—South Dakota Medicaid Transportation Ser
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$165.96since 2011-01-01——Plans must pay at least this—Louisiana Medicaid Non-Emergency Ambulan
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$150.51since 2021-07-01——Paid by the state, outside plans—Health First Colorado Physician Fee Sche
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$139.87since 2012-09-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$107.16since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$101.60since 2015-10-01——Plans must pay at least this—Iowa Medicaid fee schedule #11 AMBULANCE
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$70.75since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Ambulance Serv
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Department of Corrections services paid through the Medicaid claims system (state-funded)$69.95since 2014-05-01——Not classified—RI Medicaid Interactive Fee For Service

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A0426?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $253.19. Arizona pays the most ($845.14) and Rhode Island the least ($69.95).

Which state pays the highest Medicaid rate for A0426?

Arizona, at $845.14, effective 2020-10-01.

Do managed-care plans pay the same rate for A0426?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Transportation codes

A0429Ambulance service, basic life support, emergency transport · 47 statesA0428Ambulance service, basic life support · 46 statesA0425Ground mileage, per statute mile · 45 statesA0427Ambulance service, advanced life support · 45 statesA0431Ambulance service, conventional air services, transport · 45 statesA0436Rotary wing air mileage, per statute mile · 41 statesA0430Ambulance service, conventional air services, transport · 40 statesA0433Advanced life support, level 2 (als 2) · 39 statesA0435Fixed wing air mileage, per statute mile · 37 statesA0434Specialty care transport (sct) · 35 statesT2003Non-emergency transportation; encounter/trip · 32 statesS0215Non-emergency transportation; mileage, per mile · 30 states
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Medicaid rates by state
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming