AMBULANCE BASE - ALS

AMBULANCE BASE EM

AMBULANCE LOADED MILES

11900

INJECTION-INTRALESIONAL UP TO 7 LESIONS

12001

LAC SIMPLE NON FACIAL < 2.5CM ER

12002

LAC SIMPLE NONFACIAL 2.6-7.5CM ER

12004

LAC SIMPLE NONFACIAL 7.6-12.5CM

12005

LAC SIMPLE NONFACIAL 12.6-20CM

12006

LAC SIMPLE NONFACIAL 20.1-30CM

12007

LAC SIMPLE NONFACIAL OVER 30CM ER

12011

LAC SIMPLE FACIAL <2.5CM ER

12013

LAC SIMPLE FACIAL 2.6-5CM ER

12014

LAC SIMPLE FACIAL 5.1-7.5CM ER

12015

LAC SIMPLE FACIAL 7.6-12.5CM ER

12016

LAC SIMPLE FACIAL 12.6-20CM ER

12017

LAC SIMPLE FACIAL 20.1-30CM ER

12031

LAC INTERMED TRUNK/LIMB <2.5CM

12032

LAC INTERMED TRUNK/LIMB 2.6-7.5CM

12034

LAC INTERMED TRUNK/LIMB 7.6-12.5CM

12036

LAC INTERMED TRUNK/LIMB 20.1-30CM

12037

LAC INTERMED TRUNK/LIMB OVER 30CM

12041

LAC INTERMED NONFACIAL <2.5CM

12042

LAC INTERMED NONFACIAL 2.6-7.5CM

12044

LAC INTERMED NONFACIAL 7.6-12.5CM

12045

LAC INTERMED NONFACIAL 12.6-20CM