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A0435 Medicaid reimbursement rates by state

Fixed wing air mileage, per statute mile. 33 state Medicaid programs publish a fee-for-service rate for A0435. Rates run from $3.55 in North Carolina to $22.45 in Pennsylvania, with a median of $9.37.

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

States publishing
33
Median rate
$9.37units vary by state
Highest
$22.45Pennsylvania
Medicare (non-facility)
—not on the physician fee schedule

A0435 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
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$22.45since 2007-02-20mile—Plans must pay at least this—PA DHS PROMISe Outpatient Fee Schedule (
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$22.05since 2023-07-01mile—Plans must pay at least this—Louisiana Medicaid Emergency and Non-Eme
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$17.47since 2023-07-01mile—Paid by the state, outside plans—Utah Medicaid Coverage and Reimbursement
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$15.35since 2023-07-01mile—Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$14.25since 2026-10-01mile—Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$13.94since 2025-09-01mile—Not classified—Idaho Medicaid Numerical Fee Schedule Ju
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$12.90since 2026-07-01mile—Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker)$12.73since 2015-05-15mile—Paid by the state, outside plans—eMedNY NYS Medicaid Transportation Fee S
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$12.65since 2026-10-01mile—Plans negotiate; applies out of network—AHCCCS FFS Air Ambulance rates (Air Ambu
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$12.28since 2024-07-01per statute mile—Plans must pay at least this—MO HealthNet fee schedule: Ambulance
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$10.97since 2023-01-01mile—Plans negotiate; applies out of network—MDHHS Ambulance Fee Schedule database, J
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$10.96since 2026-01-01mile—Not classified—MaineCare Section 5 - Ambulance Services
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$10.96since 2026-01-01mile—Plans must pay at least this—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$10.96since 2026-01-01mile—Plans must pay at least this—SoonerCare Title XIX Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$10.75since 2026-01-01mile—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$10.23since 2023-07-01mile—Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$9.37since 2014-07-01mile—Plans must pay at least this—Iowa Medicaid fee schedule #11 AMBULANCE
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$9.31since 2011-07-11mile—Not classified—SCDHHS Ambulance Fee Schedule (schedule
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$9.14since 2026-09-01mile—Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ambul
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$9.14since 2023-02-01mile—Plans negotiate; applies out of network—ForwardHealth max fee schedule: Transpor
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$8.40since 2024-07-01mile—Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$8.22since 2026-04-01mile—Not classified—BMS Ambulance Fee Schedule Effective 4/1
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$8.11since 2026-07-01mile—Not classified—EMT Rates (07/26)
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$7.88since 2025-01-01mile—Plans must pay at least this—Medicaid Transportation Fee Schedule - E
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$7.26since 2025-05-16mile—Not classified—Arkansas Medicaid Transportation Fee Sch
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$7.13since 2013-07-01mile—Paid by the state, outside plans—Provider Type 32, Specialty 932 Ambulanc
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$6.40since 2024-01-01mile—Plans negotiate; applies out of network—HFS Transportation Fee Schedule (effecti
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$6.32since 2025-07-01mile—Not classified—Montana Healthcare Programs fee schedule
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$6.25since 2020-07-01mile—Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$4.47since 2026-01-01per air mile—Plans negotiate; applies out of network—Transportation Services Fee Schedule (Tr
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$3.75since 2024-01-01per statute mile—Plans negotiate; applies out of network—Appendix to OAC 5160-15-28 (final filed
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$3.60since 2021-10-01mile—Not classified—Ambulance Reimbursement Rates
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$3.55since 2025-10-01mile—Plans negotiate; applies out of network—NC Medicaid fee schedule 'Ambulance Serv

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 A0435?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $9.37. Pennsylvania pays the most ($22.45 per mile) and North Carolina the least ($3.55 per mile).

Which state pays the highest Medicaid rate for A0435?

Pennsylvania, at $22.45 per mile, effective 2007-02-20.

Do managed-care plans pay the same rate for A0435?

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 · 42 statesA0428Ambulance service, basic life support · 41 statesA0425Ground mileage, per statute mile · 40 statesA0427Ambulance service, advanced life support · 40 statesA0431Ambulance service, conventional air services, transport · 40 statesA0426Ambulance service, advanced life support · 37 statesA0430Ambulance service, conventional air services, transport · 36 statesA0436Rotary wing air mileage, per statute mile · 36 statesA0433Advanced life support, level 2 (als 2) · 34 statesA0434Specialty care transport (sct) · 32 statesT2003Non-emergency transportation; encounter/trip · 28 statesS0215Non-emergency transportation; mileage, per mile · 26 states
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