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CODES DESCRIPTION RATES <br /> BLS,~Don-emerge~cy t~9~pgrt, millage and disposable $ 150.00 <br />A0360 supplies separately Dll±e~. <br /> $ 200.00 <br /> BLS, emergepcy transport, millage and disposable supplies $ 150.00 <br />A0362 separately Pilled. <br /> $ 200.00 <br /> ALS~ noq-emg~gency transport, no specialized ALS. sgrvices $ 150.00 <br />A0364 renaerea, mileage and disposable supplies separately <br /> billed. $ 225.00 <br /> ALSa no~-eme~gency transport, specialSzed services $ 150.00 <br />A0366 ~enge~ea, mileage and disposable supp±ies separately <br /> Dil£e~. $ 225.00 <br /> ALS~ emgrgen~y transDort, no ~peciali~ed ALS seryiqes $ 150.00 <br />A0368 ~gnge~e~, mileage an~ disposable supplies separately <br /> D~l£e~. $ 250.00 <br /> ALS~ em~rge~gy trans~o~, spep!alized..ALS services $ 150.00 <br />A0370 ~99~e~e~, ml±eage ana ~sposaD±e supplies separately <br /> Dl££e~. $ 250.00 <br /> <br /> BLS mileage (per mile) <br />A0380 $ 7.50 <br /> ALS mileage (per mile) <br />A0390 $ 7.50 <br /> <br />IBLS routine disposable supplies <br />A03821 $ 25.00 <br />.AL~ ~pecia~ized seryice d~spo~able ~uppl~gs;. <br />A0392 qe~$pr$~a~$on (to D9 ~se~ o~±y i~ 3urls~lc~lons wnere $ 20.00 <br /> oei~Dr~±atlon cannot De prezormea ~n BLS ambulances). <br /> <br /> ALS specialized service disposable supplies; I.V. drug <br />A0394 therapy. $ 15.00 <br /> ALS specialized service disposable supplies; esophageal <br />A0396 intubation. $ 15.00 <br /> ALS routine disposable supplies. <br />A0395 $ 25.00 <br /> <br /> waiting time (ALS or BLS), one half (1/2) hour increments <br />A0420 $ 15.00 <br />A0422 O~yge~.andsl=uatlon. oxygen supplies (ALS or BLS), life sustaining $ 20.00 <br /> Extra ambulance attendant, ALS or BLS (requires medical <br />A0424 review), per hour $ 25.00 <br /> ~oncovered ambqlance milegge~ pe~ ~i~e (e.g. for miles <br />A0888 traveled beyon~ appropriate ~aci±ity;. $ 15.00 <br /> <br /> <br />