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Billing code A0434 · Transportation

A0434 Medicaid reimbursement rate by state (2026)

Specialty care transport (sct). Medicaid pays a median of $569.39 for A0434 across 35 states, from $55.00 in District of Columbia to $2,860.62 in Oregon.

Data as of Oct 5, 202635 statesEvery rate links to its official source

States publishing
35
National median
$569.39units vary by state
Lowest
$55.00District of Columbia
Highest
$2,860.62Oregon
Answer

What does Medicaid pay for A0434?

35 state Medicaid programs publish a fee-for-service rate for A0434. The national median is $569.39 (units differ between states). Oregon pays the most, $2,860.62, and District of Columbia the least, $55.00, a 52.0x spread.

State ranking

A0434 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Oregon Source · since 2012-09-01$2,860.62——Plans negotiate; applies out of network—
2Pennsylvania Source · since 2024-01-01$1,141.66——Plans must pay at least this—
3North Dakota Source · since 2026-07-01$1,071.66——Not classified—
17Oklahoma Source · since 2024-01-01$582.01——Plans must pay at least this—
18Nevada Source · since 2013-07-01$569.39——Paid by the state, outside plans—
19New Jersey Source · since 2025-01-01$562.83——Not classified—
34Arkansas Source · since 2025-05-16$83.25——Not classified—
35District of Columbia Source · since 2006-09-01$55.00——Not classified—
See all 35 states for A0434 — start free

27 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track A0434 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A0434?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $569.39. Oregon pays the most ($2,860.62) and District of Columbia the least ($55.00).

Which state pays the highest Medicaid rate for A0434?

Oregon, at $2,860.62, effective 2012-09-01.

Do managed-care plans pay the same rate for A0434?

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 workspace shows the rule for each state, cited to the contract or statute.