The following table includes the revised reimbursement rates for ambulance services that are effective for dates of service on or after September 1, 2009:
|
Type of Service |
Procedure Code |
Reimbursement |
|
9 |
A0398 |
$20.30 |
|
9 |
A0425 |
$5.06 |
|
9 |
A0426 |
200.00 |
|
9 |
A0427 |
$306.75 |
|
9 |
A0428 |
$200.00 |
|
9 |
A0429 |
$258.31 |
|
9 |
A0430 |
$3,110.58 |
|
9 |
A0431 |
$3,616.51 |
|
9 |
A0433 |
$443.98 |
|
9 |
A0434 |
$524.70 |
|
9 |
A0435 |
$16.24 |
|
9 |
A0436 |
$23.53 |
For more information, call the TMHP Contact Center at 1-800-925-9126.