Minor Urology Services
|
Facility
|
OP
|
$0.18
|
|
Service Code
|
EAPG 00159
|
Min. Negotiated Rate |
$0.18 |
Max. Negotiated Rate |
$0.18 |
Rate for Payer: Sunshine Health Medicaid |
$0.18
|
|
Mohs Micrographic Surgery
|
Facility
|
OP
|
$1.89
|
|
Service Code
|
EAPG 00019
|
Min. Negotiated Rate |
$1.89 |
Max. Negotiated Rate |
$1.89 |
Rate for Payer: Sunshine Health Medicaid |
$1.89
|
|
Monthly Behavioral Health Care And Case Management Services
|
Facility
|
OP
|
$0.15
|
|
Service Code
|
EAPG 02071
|
Min. Negotiated Rate |
$0.15 |
Max. Negotiated Rate |
$0.15 |
Rate for Payer: Sunshine Health Medicaid |
$0.15
|
|
Monthly Care And Case Management Services
|
Facility
|
OP
|
$0.12
|
|
Service Code
|
EAPG 02070
|
Min. Negotiated Rate |
$0.12 |
Max. Negotiated Rate |
$0.12 |
Rate for Payer: Sunshine Health Medicaid |
$0.12
|
|
Monthly Treatment Management Services
|
Facility
|
OP
|
$0.08
|
|
Service Code
|
EAPG 02072
|
Min. Negotiated Rate |
$0.08 |
Max. Negotiated Rate |
$0.08 |
Rate for Payer: Sunshine Health Medicaid |
$0.08
|
|
Mri Guidance
|
Facility
|
OP
|
$0.42
|
|
Service Code
|
EAPG 00475
|
Min. Negotiated Rate |
$0.42 |
Max. Negotiated Rate |
$0.42 |
Rate for Payer: Sunshine Health Medicaid |
$0.42
|
|
Multiple Sclerosis And Other Demyelinating Diseases
|
Facility
|
OP
|
$0.24
|
|
Service Code
|
EAPG 00523
|
Min. Negotiated Rate |
$0.24 |
Max. Negotiated Rate |
$0.24 |
Rate for Payer: Sunshine Health Medicaid |
$0.24
|
|
Musculoskeletal Excisions, Biopsies, And Drainage Procedures
|
Facility
|
OP
|
$3.80
|
|
Service Code
|
EAPG 00051
|
Min. Negotiated Rate |
$3.80 |
Max. Negotiated Rate |
$3.80 |
Rate for Payer: Sunshine Health Medicaid |
$3.80
|
|
Musculoskeletal Malignancy And Pathological Fx Due To Malignancy
|
Facility
|
OP
|
$0.39
|
|
Service Code
|
EAPG 00653
|
Min. Negotiated Rate |
$0.39 |
Max. Negotiated Rate |
$0.39 |
Rate for Payer: Sunshine Health Medicaid |
$0.39
|
|
Myelography And Discography Imaging Procedures
|
Facility
|
OP
|
$1.20
|
|
Service Code
|
EAPG 00284
|
Min. Negotiated Rate |
$1.20 |
Max. Negotiated Rate |
$1.20 |
Rate for Payer: Sunshine Health Medicaid |
$1.20
|
|
Nail Procedures
|
Facility
|
OP
|
$0.14
|
|
Service Code
|
EAPG 00005
|
Min. Negotiated Rate |
$0.14 |
Max. Negotiated Rate |
$0.14 |
Rate for Payer: Sunshine Health Medicaid |
$0.14
|
|
Nail removal partial
|
Professional
|
Both
|
$346.00
|
|
Service Code
|
CPT 11730
|
Hospital Charge Code |
1211730
|
Min. Negotiated Rate |
$41.88 |
Max. Negotiated Rate |
$216.84 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$91.69
|
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$52.35
|
Rate for Payer: Behavioral Services Network Commercial |
$57.59
|
Rate for Payer: Behavioral Services Network Medicare |
$52.35
|
Rate for Payer: Carelon Medicare |
$52.35
|
Rate for Payer: Lucet Commercial |
$41.88
|
Rate for Payer: Lucet Commercial |
$47.12
|
Rate for Payer: Lucet Commercial |
$49.73
|
Rate for Payer: Magellan Medicaid |
$87.32
|
Rate for Payer: Molina Complete Care Medicaid/Medicare |
$52.35
|
Rate for Payer: Prime Health Services Workers Comp |
$216.84
|
|
Nebulizer
|
Professional
|
Both
|
$33.00
|
|
Service Code
|
CPT 94640
|
Hospital Charge Code |
3194640
|
Min. Negotiated Rate |
$5.98 |
Max. Negotiated Rate |
$11.97 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$7.88
|
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$7.47
|
Rate for Payer: Behavioral Services Network Commercial |
$8.22
|
Rate for Payer: Behavioral Services Network Medicare |
$7.47
|
Rate for Payer: Carelon Medicare |
$7.47
|
Rate for Payer: Lucet Commercial |
$7.10
|
Rate for Payer: Lucet Commercial |
$5.98
|
Rate for Payer: Lucet Commercial |
$6.72
|
Rate for Payer: Magellan Medicaid |
$7.50
|
Rate for Payer: Molina Complete Care Medicaid/Medicare |
$7.47
|
Rate for Payer: Prime Health Services Workers Comp |
$11.97
|
|
Neonatal Aftercare
|
Facility
|
OP
|
$0.39
|
|
Service Code
|
EAPG 00873
|
Min. Negotiated Rate |
$0.39 |
Max. Negotiated Rate |
$0.39 |
Rate for Payer: Sunshine Health Medicaid |
$0.39
|
|
Neonatal Diagnoses
|
Facility
|
OP
|
$0.22
|
|
Service Code
|
EAPG 00771
|
Min. Negotiated Rate |
$0.22 |
Max. Negotiated Rate |
$0.22 |
Rate for Payer: Sunshine Health Medicaid |
$0.22
|
|
Nephritis And Nephrosis
|
Facility
|
OP
|
$0.33
|
|
Service Code
|
EAPG 00722
|
Min. Negotiated Rate |
$0.33 |
Max. Negotiated Rate |
$0.33 |
Rate for Payer: Sunshine Health Medicaid |
$0.33
|
|
Nerve And Muscle Tests
|
Facility
|
OP
|
$0.28
|
|
Service Code
|
EAPG 00213
|
Min. Negotiated Rate |
$0.28 |
Max. Negotiated Rate |
$0.28 |
Rate for Payer: Sunshine Health Medicaid |
$0.28
|
|
Nervous System Malignancy
|
Facility
|
OP
|
$0.28
|
|
Service Code
|
EAPG 00521
|
Min. Negotiated Rate |
$0.28 |
Max. Negotiated Rate |
$0.28 |
Rate for Payer: Sunshine Health Medicaid |
$0.28
|
|
Non-Bacterial Gastroenteritis, Nausea And Vomiting
|
Facility
|
OP
|
$0.46
|
|
Service Code
|
EAPG 00627
|
Min. Negotiated Rate |
$0.46 |
Max. Negotiated Rate |
$0.46 |
Rate for Payer: Sunshine Health Medicaid |
$0.46
|
|
Non-Bacterial Infections Of Nervous System
|
Facility
|
OP
|
$0.30
|
|
Service Code
|
EAPG 00519
|
Min. Negotiated Rate |
$0.30 |
Max. Negotiated Rate |
$0.30 |
Rate for Payer: Sunshine Health Medicaid |
$0.30
|
|
Noninvasive Ventilation Support
|
Facility
|
OP
|
$0.32
|
|
Service Code
|
EAPG 02020
|
Min. Negotiated Rate |
$0.32 |
Max. Negotiated Rate |
$0.32 |
Rate for Payer: Sunshine Health Medicaid |
$0.32
|
|
Non-Pressure Chronic Skin Ulcers
|
Facility
|
OP
|
$0.27
|
|
Service Code
|
EAPG 00670
|
Min. Negotiated Rate |
$0.27 |
Max. Negotiated Rate |
$0.27 |
Rate for Payer: Sunshine Health Medicaid |
$0.27
|
|
Nonspecific Cva And Precerebral Occlusion W/O Infarc
|
Facility
|
OP
|
$0.25
|
|
Service Code
|
EAPG 00534
|
Min. Negotiated Rate |
$0.25 |
Max. Negotiated Rate |
$0.25 |
Rate for Payer: Sunshine Health Medicaid |
$0.25
|
|
Normal Neonate
|
Facility
|
OP
|
$0.29
|
|
Service Code
|
EAPG 00770
|
Min. Negotiated Rate |
$0.29 |
Max. Negotiated Rate |
$0.29 |
Rate for Payer: Sunshine Health Medicaid |
$0.29
|
|
Nutrition Therapy
|
Facility
|
OP
|
$0.47
|
|
Service Code
|
EAPG 00118
|
Min. Negotiated Rate |
$0.47 |
Max. Negotiated Rate |
$0.47 |
Rate for Payer: Sunshine Health Medicaid |
$0.47
|
|