Ambulance Fee Schedule

Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item or procedure. Please refer to the appropriate West Virginia Medicaid provider manual for coverage determination. 

Note: When opening Ambulance Fee files in Excel, if prompted to enter user name and password, please click cancel and the file will open.
To View and Download in:
    ​Excel Format                                                 PDF Format
Ambulance Fee Schedule                         A​mbulanc​e Fee Schedule    Effective 4/1/23 - 3/31/24
Ambulance Fee Schedule                         Ambulance Fee Schedule    Effective 7/1/22 - 3/31/23
Ambulance Fee Schedule                         Ambulance Fee Schedule  Effective 4/1/22 - 6/30/22
Ambulance Fee Schedule                         Ambulance Fee Schedule    Effective 4/1/22 - 3/31/23​
Ambulance Fee Schedule                         Ambulance Fee Schedule    Effective 4/1/21 - 3/31/22
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