HCPCS A0433: Advanced Life Support, Level 2 (ALS 2)
Commercial payers pay $743 on average nationally for this procedure.
HCPCS Level II code A0433 represents Advanced Life Support, level 2 (ALS 2) ambulance service for patients requiring advanced pre-hospital care; the service type is advanced life support and the typical site of service is ambulance transport in the pre-hospital/emergency setting.
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 reimbursement for HCPCS A0433 centers around BUCA’s average commercial rate of $742.90, which provides a midpoint reference among major payers. Blue Cross Blue Shield’s dispersion (P75–P25) is $295.00 ($916.80–$620.30), while UnitedHealth Group shows a narrower interquartile spread of $200.90 ($789.80–$587.90). Aetna’s IQR is $116.00 ($689.00–$573.00) and Cigna’s is $330.90 ($767.60–$413.70). These differences indicate that Blue Cross Blue Shield and Cigna exhibit wider variability in commercial payment levels, whereas Aetna and UnitedHealth Group are comparatively tighter around their central tendencies.
Looking at central tendency and tails, UnitedHealth Group and Blue Cross Blue Shield have higher upper-end Q3 values ($789.80 and $916.80 respectively), suggesting higher payments are attainable at the 75th percentile, while Cigna’s median sits at $413.70. BUCA’s mean of $742.90 sits between several payers’ medians and upper quartiles, reflecting its role as an average commercial anchor in the national landscape. The IQR comparisons underscore where commercial rates cluster tightly versus where they spread widely across payers.