|
Osteoporosis
|
Facility
|
OP
|
$0.26
|
|
|
Service Code
|
EAPG 00662
|
| Min. Negotiated Rate |
$0.26 |
| Max. Negotiated Rate |
$0.26 |
| Rate for Payer: Sunshine Health Medicaid |
$0.26
|
|
|
Other Aftercare And Convalescence
|
Facility
|
OP
|
$0.32
|
|
|
Service Code
|
EAPG 00872
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$0.32 |
| Rate for Payer: Sunshine Health Medicaid |
$0.32
|
|
|
Other Antepartum Complication Diagnoses
|
Facility
|
OP
|
$0.57
|
|
|
Service Code
|
EAPG 00765
|
| Min. Negotiated Rate |
$0.57 |
| Max. Negotiated Rate |
$0.57 |
| Rate for Payer: Sunshine Health Medicaid |
$0.57
|
|
|
Other Behavioral Health Diagnoses
|
Facility
|
OP
|
$0.42
|
|
|
Service Code
|
EAPG 00831
|
| Min. Negotiated Rate |
$0.42 |
| Max. Negotiated Rate |
$0.42 |
| Rate for Payer: Sunshine Health Medicaid |
$0.42
|
|
|
Other Cardiovascular System Diagnoses
|
Facility
|
OP
|
$0.40
|
|
|
Service Code
|
EAPG 00592
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$0.40 |
| Rate for Payer: Sunshine Health Medicaid |
$0.40
|
|
|
Other Central Nervous System Diagnoses
|
Facility
|
OP
|
$0.34
|
|
|
Service Code
|
EAPG 00524
|
| Min. Negotiated Rate |
$0.34 |
| Max. Negotiated Rate |
$0.34 |
| Rate for Payer: Sunshine Health Medicaid |
$0.34
|
|
|
Other Complications Of Treatment
|
Facility
|
OP
|
$0.37
|
|
|
Service Code
|
EAPG 00852
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$0.37 |
| Rate for Payer: Sunshine Health Medicaid |
$0.37
|
|
|
Other Craniotomy Procedures Including Cranioplasty
|
Facility
|
OP
|
$13.42
|
|
|
Service Code
|
EAPG 00267
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$13.42 |
| Rate for Payer: Sunshine Health Medicaid |
$13.42
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
OP
|
$0.55
|
|
|
Service Code
|
EAPG 00843
|
| Min. Negotiated Rate |
$0.55 |
| Max. Negotiated Rate |
$0.55 |
| Rate for Payer: Sunshine Health Medicaid |
$0.55
|
|
|
Other Ear, Nose, Mouth, Throat And Craniofacial Diagnoses
|
Facility
|
OP
|
$0.33
|
|
|
Service Code
|
EAPG 00564
|
| Min. Negotiated Rate |
$0.33 |
| Max. Negotiated Rate |
$0.33 |
| Rate for Payer: Sunshine Health Medicaid |
$0.33
|
|
|
Other Endocrine System Diagnoses
|
Facility
|
OP
|
$0.29
|
|
|
Service Code
|
EAPG 00692
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.29 |
| Rate for Payer: Sunshine Health Medicaid |
$0.29
|
|
|
Other Eye Infection Diagnoses
|
Facility
|
OP
|
$0.21
|
|
|
Service Code
|
EAPG 00557
|
| Min. Negotiated Rate |
$0.21 |
| Max. Negotiated Rate |
$0.21 |
| Rate for Payer: Sunshine Health Medicaid |
$0.21
|
|
|
Other Female Reproductive System And Menstrual Diagnoses
|
Facility
|
OP
|
$0.28
|
|
|
Service Code
|
EAPG 00752
|
| Min. Negotiated Rate |
$0.28 |
| Max. Negotiated Rate |
$0.28 |
| Rate for Payer: Sunshine Health Medicaid |
$0.28
|
|
|
Other Gastrointestinal System Diagnoses
|
Facility
|
OP
|
$0.39
|
|
|
Service Code
|
EAPG 00624
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$0.39 |
| Rate for Payer: Sunshine Health Medicaid |
$0.39
|
|
|
Other Gynecological Procedures
|
Facility
|
OP
|
$1.11
|
|
|
Service Code
|
EAPG 00209
|
| Min. Negotiated Rate |
$1.11 |
| Max. Negotiated Rate |
$1.11 |
| Rate for Payer: Sunshine Health Medicaid |
$1.11
|
|
|
Other Hematological Diagnoses
|
Facility
|
OP
|
$0.40
|
|
|
Service Code
|
EAPG 00780
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$0.40 |
| Rate for Payer: Sunshine Health Medicaid |
$0.40
|
|
|
Other Hepatobiliary System Diagnoses
|
Facility
|
OP
|
$0.38
|
|
|
Service Code
|
EAPG 00639
|
| Min. Negotiated Rate |
$0.38 |
| Max. Negotiated Rate |
$0.38 |
| Rate for Payer: Sunshine Health Medicaid |
$0.38
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
OP
|
$0.32
|
|
|
Service Code
|
EAPG 00809
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$0.32 |
| Rate for Payer: Sunshine Health Medicaid |
$0.32
|
|
|
Other Injuries And Disorders Of The Musculoskeletal System And Connective Tissue
|
Facility
|
OP
|
$0.31
|
|
|
Service Code
|
EAPG 00652
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$0.31 |
| Rate for Payer: Sunshine Health Medicaid |
$0.31
|
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
OP
|
$0.34
|
|
|
Service Code
|
EAPG 00853
|
| Min. Negotiated Rate |
$0.34 |
| Max. Negotiated Rate |
$0.34 |
| Rate for Payer: Sunshine Health Medicaid |
$0.34
|
|
|
Other Intra-Abdominal And Intraperitoneal Surgical Procedures
|
Facility
|
OP
|
$7.82
|
|
|
Service Code
|
EAPG 00108
|
| Min. Negotiated Rate |
$7.82 |
| Max. Negotiated Rate |
$7.82 |
| Rate for Payer: Sunshine Health Medicaid |
$7.82
|
|
|
Other Intracranial Neurosurgery Procedures
|
Facility
|
OP
|
$7.89
|
|
|
Service Code
|
EAPG 00225
|
| Min. Negotiated Rate |
$7.89 |
| Max. Negotiated Rate |
$7.89 |
| Rate for Payer: Sunshine Health Medicaid |
$7.89
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
OP
|
$0.34
|
|
|
Service Code
|
EAPG 00726
|
| Min. Negotiated Rate |
$0.34 |
| Max. Negotiated Rate |
$0.34 |
| Rate for Payer: Sunshine Health Medicaid |
$0.34
|
|
|
Other Male Reproductive System Diagnoses
|
Facility
|
OP
|
$0.33
|
|
|
Service Code
|
EAPG 00741
|
| Min. Negotiated Rate |
$0.33 |
| Max. Negotiated Rate |
$0.33 |
| Rate for Payer: Sunshine Health Medicaid |
$0.33
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
OP
|
$0.36
|
|
|
Service Code
|
EAPG 00660
|
| Min. Negotiated Rate |
$0.36 |
| Max. Negotiated Rate |
$0.36 |
| Rate for Payer: Sunshine Health Medicaid |
$0.36
|
|
