HCPCS Level II A0425: Ground Mileage, Per Statute Mile
Commercial payers pay $13 on average nationally for this procedure.
HCPCS Level II code A0425 represents billing for ground mileage charged per statute mile for ambulance transportation; the service is ambulance ground transport mileage typically provided during ambulance transport between locations or to definitive care (ground ambulance service) and billed by ambulance providers or services for each mile traveled under applicable ambulance transport policies.
For related coverage guidance, see recent payer policy updates: Dialysis Services (ESRD) Coverage and Provider Requirements, Total Parenteral Nutrition and Intradialytic Parenteral Nutrition, End Stage Renal Disease (ESRD): Renal Dialysis.
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National Reimbursement Benchmarks
National commercial pricing for HCPCS A0425 clusters around the BUCA average commercial rate of $12.5, with notable variation by insurer. Blue Cross Blue Shield (BCBS) shows an extreme upper outlier at $99770 but its central tendency is modest, while Aetna and UnitedHealth Group exhibit higher maximums ($540.6 and $22.1 respectively) that reflect occasional high-priced claims rather than typical reimbursements. Cigna’s distribution is compact with a mean of $6.6, and BUCA’s mean of $12.5 sits between the lower and higher payer averages.
Measuring dispersion as P75 minus P25 highlights tightest and widest spreads: Cigna’s spread is $4.3 (P75 $8.7 minus P25 $4.4), indicating the tightest band, while Blue Cross Blue Shield has the widest interquartile range of $5.5 (P75 $12.1 minus P25 $6.5). UnitedHealth Group’s spread is $2.1, Aetna’s is $2.0, and BUCA’s interquartile spread is $4. - these values show most payers have modest IQRs but BCBS includes extreme volatility in its extremes.