|
Male Reproductive System Malignancy
|
Facility
|
OP
|
$0.29
|
|
|
Service Code
|
EAPG 00740
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.29 |
| Rate for Payer: Sunshine Health Medicaid |
$0.29
|
|
|
Malfunction, Reaction And Complication Of Gi Device Or Procedure
|
Facility
|
OP
|
$0.71
|
|
|
Service Code
|
EAPG 00629
|
| Min. Negotiated Rate |
$0.71 |
| Max. Negotiated Rate |
$0.71 |
| Rate for Payer: Sunshine Health Medicaid |
$0.71
|
|
|
Malfunction, Reaction, Complication Of Neurological Device Or Proc
|
Facility
|
OP
|
$0.40
|
|
|
Service Code
|
EAPG 00537
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$0.40 |
| Rate for Payer: Sunshine Health Medicaid |
$0.40
|
|
|
Malfunction, Reaction, Complic Of Genitourinary Device Or Proc
|
Facility
|
OP
|
$0.55
|
|
|
Service Code
|
EAPG 00725
|
| Min. Negotiated Rate |
$0.55 |
| Max. Negotiated Rate |
$0.55 |
| Rate for Payer: Sunshine Health Medicaid |
$0.55
|
|
|
Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure
|
Facility
|
OP
|
$0.39
|
|
|
Service Code
|
EAPG 00659
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$0.39 |
| Rate for Payer: Sunshine Health Medicaid |
$0.39
|
|
|
Malfunction, Reaction, Or Complication Of Cardiovascular Device Or Proc
|
Facility
|
OP
|
$0.54
|
|
|
Service Code
|
EAPG 00589
|
| Min. Negotiated Rate |
$0.54 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Sunshine Health Medicaid |
$0.54
|
|
|
Malfunction, Reaction, Or Complication Of Ocular Device Or Procedure
|
Facility
|
OP
|
$0.27
|
|
|
Service Code
|
EAPG 00558
|
| Min. Negotiated Rate |
$0.27 |
| Max. Negotiated Rate |
$0.27 |
| Rate for Payer: Sunshine Health Medicaid |
$0.27
|
|
|
Malfunction, Reaction, Or Complication Of Otolaryngologic Device Or Procedure
|
Facility
|
OP
|
$0.31
|
|
|
Service Code
|
EAPG 00566
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$0.31 |
| Rate for Payer: Sunshine Health Medicaid |
$0.31
|
|
|
Malfunction, Reaction, Or Complication Of Pulmonary Device Or Procedure
|
Facility
|
OP
|
$0.70
|
|
|
Service Code
|
EAPG 00583
|
| Min. Negotiated Rate |
$0.70 |
| Max. Negotiated Rate |
$0.70 |
| Rate for Payer: Sunshine Health Medicaid |
$0.70
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
OP
|
$0.43
|
|
|
Service Code
|
EAPG 00634
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$0.43 |
| Rate for Payer: Sunshine Health Medicaid |
$0.43
|
|
|
Malignant Breast Diagnoses
|
Facility
|
OP
|
$0.27
|
|
|
Service Code
|
EAPG 00672
|
| Min. Negotiated Rate |
$0.27 |
| Max. Negotiated Rate |
$0.27 |
| Rate for Payer: Sunshine Health Medicaid |
$0.27
|
|
|
Malnutrition, Failure To Thrive And Other Nutritional Diagnoses
|
Facility
|
OP
|
$0.34
|
|
|
Service Code
|
EAPG 00690
|
| Min. Negotiated Rate |
$0.34 |
| Max. Negotiated Rate |
$0.34 |
| Rate for Payer: Sunshine Health Medicaid |
$0.34
|
|
|
Mammography And Other Related Procedures
|
Facility
|
OP
|
$0.10
|
|
|
Service Code
|
EAPG 00286
|
| Min. Negotiated Rate |
$0.10 |
| Max. Negotiated Rate |
$0.10 |
| Rate for Payer: Sunshine Health Medicaid |
$0.10
|
|
|
Medication Administration And Observation
|
Facility
|
OP
|
$0.05
|
|
|
Service Code
|
EAPG 00322
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Sunshine Health Medicaid |
$0.05
|
|
|
Migraine
|
Facility
|
OP
|
$0.25
|
|
|
Service Code
|
EAPG 00531
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$0.25 |
| Rate for Payer: Sunshine Health Medicaid |
$0.25
|
|
|
Minor Audiometry Tests And Audiology Screening Services
|
Facility
|
OP
|
$0.07
|
|
|
Service Code
|
EAPG 00229
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$0.07 |
| Rate for Payer: Sunshine Health Medicaid |
$0.07
|
|
|
Minor Dermatology Services
|
Facility
|
OP
|
$0.07
|
|
|
Service Code
|
EAPG 00177
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$0.07 |
| Rate for Payer: Sunshine Health Medicaid |
$0.07
|
|
|
Minor Device Evaluation And Interrogation
|
Facility
|
OP
|
$0.07
|
|
|
Service Code
|
EAPG 00488
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$0.07 |
| Rate for Payer: Sunshine Health Medicaid |
$0.07
|
|
|
Minor Ear, Nose, Mouth And Throat Procedures
|
Facility
|
OP
|
$0.38
|
|
|
Service Code
|
EAPG 00249
|
| Min. Negotiated Rate |
$0.38 |
| Max. Negotiated Rate |
$0.38 |
| Rate for Payer: Sunshine Health Medicaid |
$0.38
|
|
|
Minor Female Reproductive Procedures
|
Facility
|
OP
|
$0.45
|
|
|
Service Code
|
EAPG 00417
|
| Min. Negotiated Rate |
$0.45 |
| Max. Negotiated Rate |
$0.45 |
| Rate for Payer: Sunshine Health Medicaid |
$0.45
|
|
|
Minor Gastrointestinal Procedures Including Tube Insertion Or Placement
|
Facility
|
OP
|
$0.62
|
|
|
Service Code
|
EAPG 00130
|
| Min. Negotiated Rate |
$0.62 |
| Max. Negotiated Rate |
$0.62 |
| Rate for Payer: Sunshine Health Medicaid |
$0.62
|
|
|
Minor Musculoskeletal Procedures
|
Facility
|
OP
|
$0.39
|
|
|
Service Code
|
EAPG 02030
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$0.39 |
| Rate for Payer: Sunshine Health Medicaid |
$0.39
|
|
|
Minor Ophthalmological Procedures And Diagnostic Services
|
Facility
|
OP
|
$0.58
|
|
|
Service Code
|
EAPG 00230
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$0.58 |
| Rate for Payer: Sunshine Health Medicaid |
$0.58
|
|
|
Minor Specimen Collection Services
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
EAPG 00304
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Sunshine Health Medicaid |
$0.01
|
|
|
Minor Splint And Strapping Application
|
Facility
|
OP
|
$0.16
|
|
|
Service Code
|
EAPG 00040
|
| Min. Negotiated Rate |
$0.16 |
| Max. Negotiated Rate |
$0.16 |
| Rate for Payer: Sunshine Health Medicaid |
$0.16
|
|
