|
Labor And Delivery Related Diagnoses
|
Facility
|
OP
|
$0.53
|
|
|
Service Code
|
EAPG 00760
|
| Min. Negotiated Rate |
$0.53 |
| Max. Negotiated Rate |
$0.53 |
| Rate for Payer: Sunshine Health Medicaid |
$0.53
|
|
|
Level I Allergy Tests
|
Facility
|
OP
|
$0.07
|
|
|
Service Code
|
EAPG 00116
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$0.07 |
| Rate for Payer: Sunshine Health Medicaid |
$0.07
|
|
|
Level I Anal And Rectal Procedures
|
Facility
|
OP
|
$3.08
|
|
|
Service Code
|
EAPG 00141
|
| Min. Negotiated Rate |
$3.08 |
| Max. Negotiated Rate |
$3.08 |
| Rate for Payer: Sunshine Health Medicaid |
$3.08
|
|
|
Level I Ancillary Therapeutic Services
|
Facility
|
OP
|
$0.06
|
|
|
Service Code
|
EAPG 00493
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$0.06 |
| Rate for Payer: Sunshine Health Medicaid |
$0.06
|
|
|
Level I Anterior Chamber Eye Procedures
|
Facility
|
OP
|
$2.05
|
|
|
Service Code
|
EAPG 00234
|
| Min. Negotiated Rate |
$2.05 |
| Max. Negotiated Rate |
$2.05 |
| Rate for Payer: Sunshine Health Medicaid |
$2.05
|
|
|
Level I Arthroplasty
|
Facility
|
OP
|
$7.48
|
|
|
Service Code
|
EAPG 00046
|
| Min. Negotiated Rate |
$7.48 |
| Max. Negotiated Rate |
$7.48 |
| Rate for Payer: Sunshine Health Medicaid |
$7.48
|
|
|
Level I Arthroscopy
|
Facility
|
OP
|
$4.48
|
|
|
Service Code
|
EAPG 00037
|
| Min. Negotiated Rate |
$4.48 |
| Max. Negotiated Rate |
$4.48 |
| Rate for Payer: Sunshine Health Medicaid |
$4.48
|
|
|
Level I Bladder And Ureteral Procedures
|
Facility
|
OP
|
$3.32
|
|
|
Service Code
|
EAPG 00173
|
| Min. Negotiated Rate |
$3.32 |
| Max. Negotiated Rate |
$3.32 |
| Rate for Payer: Sunshine Health Medicaid |
$3.32
|
|
|
Level I Blood And Tissue Typing Tests
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
EAPG 00486
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Sunshine Health Medicaid |
$0.01
|
|
|
Level I Blood Product Exchange Services
|
Facility
|
OP
|
$0.94
|
|
|
Service Code
|
EAPG 00113
|
| Min. Negotiated Rate |
$0.94 |
| Max. Negotiated Rate |
$0.94 |
| Rate for Payer: Sunshine Health Medicaid |
$0.94
|
|
|
Level I Central Venous Access Procedures
|
Facility
|
OP
|
$2.50
|
|
|
Service Code
|
EAPG 00075
|
| Min. Negotiated Rate |
$2.50 |
| Max. Negotiated Rate |
$2.50 |
| Rate for Payer: Sunshine Health Medicaid |
$2.50
|
|
|
Level I Chemistry Tests
|
Facility
|
OP
|
$0.02
|
|
|
Service Code
|
EAPG 00400
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$0.02 |
| Rate for Payer: Sunshine Health Medicaid |
$0.02
|
|
|
Level I Clotting Tests
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
EAPG 00406
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Sunshine Health Medicaid |
$0.01
|
|
|
Level I Complex Laboratory, Molecular Pathology And Genetic Tests
|
Facility
|
OP
|
$0.08
|
|
|
Service Code
|
EAPG 00385
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$0.08 |
| Rate for Payer: Sunshine Health Medicaid |
$0.08
|
|
|
Level I Computed Tomography
|
Facility
|
OP
|
$0.22
|
|
|
Service Code
|
EAPG 00299
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$0.22 |
| Rate for Payer: Sunshine Health Medicaid |
$0.22
|
|
|
Level I Conventional Radiology
|
Facility
|
OP
|
$0.12
|
|
|
Service Code
|
EAPG 00471
|
| Min. Negotiated Rate |
$0.12 |
| Max. Negotiated Rate |
$0.12 |
| Rate for Payer: Sunshine Health Medicaid |
$0.12
|
|
|
Level I Corneal And Other Anterior Surface Eye Procedures
|
Facility
|
OP
|
$1.20
|
|
|
Service Code
|
EAPG 00247
|
| Min. Negotiated Rate |
$1.20 |
| Max. Negotiated Rate |
$1.20 |
| Rate for Payer: Sunshine Health Medicaid |
$1.20
|
|
|
Level I Craniofacial Bone Procedures
|
Facility
|
OP
|
$5.69
|
|
|
Service Code
|
EAPG 00227
|
| Min. Negotiated Rate |
$5.69 |
| Max. Negotiated Rate |
$5.69 |
| Rate for Payer: Sunshine Health Medicaid |
$5.69
|
|
|
Level I Dental Imaging
|
Facility
|
OP
|
$0.08
|
|
|
Service Code
|
EAPG 00373
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$0.08 |
| Rate for Payer: Sunshine Health Medicaid |
$0.08
|
|
|
Level I Dental Implants
|
Facility
|
OP
|
$2.73
|
|
|
Service Code
|
EAPG 00381
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$2.73 |
| Rate for Payer: Sunshine Health Medicaid |
$2.73
|
|
|
Level I Dental Restorations
|
Facility
|
OP
|
$4.52
|
|
|
Service Code
|
EAPG 00361
|
| Min. Negotiated Rate |
$4.52 |
| Max. Negotiated Rate |
$4.52 |
| Rate for Payer: Sunshine Health Medicaid |
$4.52
|
|
|
Level I Diagnostic Nuclear Medicine
|
Facility
|
OP
|
$0.77
|
|
|
Service Code
|
EAPG 00331
|
| Min. Negotiated Rate |
$0.77 |
| Max. Negotiated Rate |
$0.77 |
| Rate for Payer: Sunshine Health Medicaid |
$0.77
|
|
|
Level I Diagnostic Ultrasound
|
Facility
|
OP
|
$0.23
|
|
|
Service Code
|
EAPG 00288
|
| Min. Negotiated Rate |
$0.23 |
| Max. Negotiated Rate |
$0.23 |
| Rate for Payer: Sunshine Health Medicaid |
$0.23
|
|
|
Level I Drug Screening And Definitive Tests
|
Facility
|
OP
|
$0.02
|
|
|
Service Code
|
EAPG 02040
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$0.02 |
| Rate for Payer: Sunshine Health Medicaid |
$0.02
|
|
|
Level I Ear, Nose, Mouth And Throat Procedures
|
Facility
|
OP
|
$2.87
|
|
|
Service Code
|
EAPG 00252
|
| Min. Negotiated Rate |
$2.87 |
| Max. Negotiated Rate |
$2.87 |
| Rate for Payer: Sunshine Health Medicaid |
$2.87
|
|
