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2. Appendix A — Fee Schedule. <br />CHAPTER 13. FIRE PROTECTION AND PREVENTION <br />Code <br />Description <br />Fee <br />Section <br />13-74 <br />Ambulance services fees: <br />13-74(1) <br />Nonemergency incident response and ambulance transport <br />422.07 <br />with basic life support services <br />13-74(2) <br />Emergency incident response and ambulance transport with <br />675.30 <br />basic life support services <br />13-74(3) <br />Nonemergency incident response and ambulance transport <br />506.48 <br />with advanced life support Level 1 services <br />13-74(4) <br />Emergency incident response and ambulance transport with <br />801.92 <br />advanced life support Level 1 services <br />13-74(5) <br />Emergency incident response and ambulance transport with <br />1,160.66 <br />advanced life support Level 2 services <br />13-74(6) <br />Emergency incident response and ambulance transport with <br />1,371.69 <br />specialty care transport services <br />13-74(7) <br />The fee for ground transport mileage shall be $13.73 per loaded <br />mile in addition to the service charges set out in subsections (1) <br />through (6) of this section. <br />13-74(8) <br />Emergency incident response and patient assessment with a <br />medical assessment and/or treatment performed but no <br />transport to a health care facility <br />Basic charge <br />125.00 <br />plus, if applicable, ambulance billing—ALS supplies <br />100.00 <br />plus, if applicable, ambulance billing—BLS supplies <br />60.00 <br />plus, if applicable, ambulance billing—Oxygen <br />50.00 <br />13-74(9) <br />Emergency incident response and patient assessment with a <br />125.00 <br />medical assessment and treatment performed where the <br />patient is determined to be deceased at the scene by a medical <br />provider. <br />13- <br />Patient care reports <br />10.00 <br />74(10) <br />13-74 <br />Use of IV Kit (Pharmacy Kit 1) <br />250.00 <br />(11) <br />13-74 <br />Use of Medication Kit (Pharmacy Kit II) <br />250.00 <br />(12) <br />13-74 <br />Use of Narcotic Kit (Pharmacy Kit III) <br />100.00 <br />(13) <br />