|
Level I Endocrinology Tests
|
Facility
|
OP
|
$0.02
|
|
|
Service Code
|
EAPG 00398
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$0.02 |
| Rate for Payer: Sunshine Health Medicaid |
$0.02
|
|
|
Level I Endodontics
|
Facility
|
OP
|
$0.30
|
|
|
Service Code
|
EAPG 00364
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$0.30 |
| Rate for Payer: Sunshine Health Medicaid |
$0.30
|
|
|
Level I Endoscopy Of The Upper Airway
|
Facility
|
OP
|
$1.22
|
|
|
Service Code
|
EAPG 00062
|
| Min. Negotiated Rate |
$1.22 |
| Max. Negotiated Rate |
$1.22 |
| Rate for Payer: Sunshine Health Medicaid |
$1.22
|
|
|
Level I Ercp And Related Endoscopic Procedures
|
Facility
|
OP
|
$5.61
|
|
|
Service Code
|
EAPG 00138
|
| Min. Negotiated Rate |
$5.61 |
| Max. Negotiated Rate |
$5.61 |
| Rate for Payer: Sunshine Health Medicaid |
$5.61
|
|
|
Level I Esophageal And Gastric Surgical Procedures
|
Facility
|
OP
|
$7.58
|
|
|
Service Code
|
EAPG 00125
|
| Min. Negotiated Rate |
$7.58 |
| Max. Negotiated Rate |
$7.58 |
| Rate for Payer: Sunshine Health Medicaid |
$7.58
|
|
|
Level I Eyelid, Lacrimal And Conjunctival Procedures
|
Facility
|
OP
|
$2.93
|
|
|
Service Code
|
EAPG 00258
|
| Min. Negotiated Rate |
$2.93 |
| Max. Negotiated Rate |
$2.93 |
| Rate for Payer: Sunshine Health Medicaid |
$2.93
|
|
|
Level I Fetal Procedures
|
Facility
|
OP
|
$0.44
|
|
|
Service Code
|
EAPG 00191
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$0.44 |
| Rate for Payer: Sunshine Health Medicaid |
$0.44
|
|
|
Level I Foot Procedures
|
Facility
|
OP
|
$4.59
|
|
|
Service Code
|
EAPG 00035
|
| Min. Negotiated Rate |
$4.59 |
| Max. Negotiated Rate |
$4.59 |
| Rate for Payer: Sunshine Health Medicaid |
$4.59
|
|
|
Level I Forearm And Wrist Procedures
|
Facility
|
OP
|
$3.67
|
|
|
Service Code
|
EAPG 00023
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Sunshine Health Medicaid |
$3.67
|
|
|
Level I Hand Procedures
|
Facility
|
OP
|
$2.78
|
|
|
Service Code
|
EAPG 00033
|
| Min. Negotiated Rate |
$2.78 |
| Max. Negotiated Rate |
$2.78 |
| Rate for Payer: Sunshine Health Medicaid |
$2.78
|
|
|
Level I Hematology Tests
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
EAPG 00408
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Sunshine Health Medicaid |
$0.01
|
|
|
Level I Hepatobiliary And Pancreas Procedures
|
Facility
|
OP
|
$4.99
|
|
|
Service Code
|
EAPG 00151
|
| Min. Negotiated Rate |
$4.99 |
| Max. Negotiated Rate |
$4.99 |
| Rate for Payer: Sunshine Health Medicaid |
$4.99
|
|
|
Level I Hip And Femur Procedures
|
Facility
|
OP
|
$8.17
|
|
|
Service Code
|
EAPG 00027
|
| Min. Negotiated Rate |
$8.17 |
| Max. Negotiated Rate |
$8.17 |
| Rate for Payer: Sunshine Health Medicaid |
$8.17
|
|
|
Level I Hysterectomy And Myomectomy Procedures
|
Facility
|
OP
|
$8.80
|
|
|
Service Code
|
EAPG 00204
|
| Min. Negotiated Rate |
$8.80 |
| Max. Negotiated Rate |
$8.80 |
| Rate for Payer: Sunshine Health Medicaid |
$8.80
|
|
|
Level Ii Allergy Tests
|
Facility
|
OP
|
$0.09
|
|
|
Service Code
|
EAPG 02016
|
| Min. Negotiated Rate |
$0.09 |
| Max. Negotiated Rate |
$0.09 |
| Rate for Payer: Sunshine Health Medicaid |
$0.09
|
|
|
Level Ii Anal And Rectal Procedures
|
Facility
|
OP
|
$4.82
|
|
|
Service Code
|
EAPG 00142
|
| Min. Negotiated Rate |
$4.82 |
| Max. Negotiated Rate |
$4.82 |
| Rate for Payer: Sunshine Health Medicaid |
$4.82
|
|
|
Level Ii Ancillary Therapeutic Services
|
Facility
|
OP
|
$0.07
|
|
|
Service Code
|
EAPG 00269
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$0.07 |
| Rate for Payer: Sunshine Health Medicaid |
$0.07
|
|
|
Level Ii Anterior Chamber Eye Procedures
|
Facility
|
OP
|
$7.07
|
|
|
Service Code
|
EAPG 00235
|
| Min. Negotiated Rate |
$7.07 |
| Max. Negotiated Rate |
$7.07 |
| Rate for Payer: Sunshine Health Medicaid |
$7.07
|
|
|
Level Ii Arthroplasty
|
Facility
|
OP
|
$19.33
|
|
|
Service Code
|
EAPG 00047
|
| Min. Negotiated Rate |
$19.33 |
| Max. Negotiated Rate |
$19.33 |
| Rate for Payer: Sunshine Health Medicaid |
$19.33
|
|
|
Level Ii Arthroscopy
|
Facility
|
OP
|
$11.64
|
|
|
Service Code
|
EAPG 00038
|
| Min. Negotiated Rate |
$11.64 |
| Max. Negotiated Rate |
$11.64 |
| Rate for Payer: Sunshine Health Medicaid |
$11.64
|
|
|
Level Ii Bladder And Ureteral Procedures
|
Facility
|
OP
|
$8.84
|
|
|
Service Code
|
EAPG 00174
|
| Min. Negotiated Rate |
$8.84 |
| Max. Negotiated Rate |
$8.84 |
| Rate for Payer: Sunshine Health Medicaid |
$8.84
|
|
|
Level Ii Blood And Tissue Typing Tests
|
Facility
|
OP
|
$0.10
|
|
|
Service Code
|
EAPG 00393
|
| Min. Negotiated Rate |
$0.10 |
| Max. Negotiated Rate |
$0.10 |
| Rate for Payer: Sunshine Health Medicaid |
$0.10
|
|
|
Level Ii Blood Product Exchange Services
|
Facility
|
OP
|
$3.33
|
|
|
Service Code
|
EAPG 00114
|
| Min. Negotiated Rate |
$3.33 |
| Max. Negotiated Rate |
$3.33 |
| Rate for Payer: Sunshine Health Medicaid |
$3.33
|
|
|
Level Ii Central Venous Access Procedures
|
Facility
|
OP
|
$4.48
|
|
|
Service Code
|
EAPG 00083
|
| Min. Negotiated Rate |
$4.48 |
| Max. Negotiated Rate |
$4.48 |
| Rate for Payer: Sunshine Health Medicaid |
$4.48
|
|
|
Level Ii Chemistry Tests
|
Facility
|
OP
|
$0.05
|
|
|
Service Code
|
EAPG 00401
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Sunshine Health Medicaid |
$0.05
|
|
