Contusions To External Organs Other Than Head Trauma
|
Facility
|
OP
|
$0.56
|
|
Service Code
|
EAPG 00610
|
Min. Negotiated Rate |
$0.56 |
Max. Negotiated Rate |
$0.56 |
Rate for Payer: Sunshine Health Medicaid |
$0.56
|
|
Corneal Tissue Processing
|
Facility
|
OP
|
$5.45
|
|
Service Code
|
EAPG 00485
|
Min. Negotiated Rate |
$5.45 |
Max. Negotiated Rate |
$5.45 |
Rate for Payer: Sunshine Health Medicaid |
$5.45
|
|
Counselling Or Individual Brief Psychotherapy
|
Facility
|
OP
|
$0.25
|
|
Service Code
|
EAPG 00315
|
Min. Negotiated Rate |
$0.25 |
Max. Negotiated Rate |
$0.25 |
Rate for Payer: Sunshine Health Medicaid |
$0.25
|
|
Cranial And Spinal Shunt Procedures
|
Facility
|
OP
|
$12.20
|
|
Service Code
|
EAPG 00268
|
Min. Negotiated Rate |
$12.20 |
Max. Negotiated Rate |
$12.20 |
Rate for Payer: Sunshine Health Medicaid |
$12.20
|
|
Crisis Intervention
|
Facility
|
OP
|
$0.56
|
|
Service Code
|
EAPG 00321
|
Min. Negotiated Rate |
$0.56 |
Max. Negotiated Rate |
$0.56 |
Rate for Payer: Sunshine Health Medicaid |
$0.56
|
|
Ct Guidance
|
Facility
|
OP
|
$0.16
|
|
Service Code
|
EAPG 00473
|
Min. Negotiated Rate |
$0.16 |
Max. Negotiated Rate |
$0.16 |
Rate for Payer: Sunshine Health Medicaid |
$0.16
|
|
Cva And Precerebral Occlusion W Infarct
|
Facility
|
OP
|
$0.52
|
|
Service Code
|
EAPG 00535
|
Min. Negotiated Rate |
$0.52 |
Max. Negotiated Rate |
$0.52 |
Rate for Payer: Sunshine Health Medicaid |
$0.52
|
|
CVD risk reduction, annually, 15 mins
|
Professional
|
Both
|
$80.00
|
|
Service Code
|
CPT G0446
|
Hospital Charge Code |
57G0446
|
Min. Negotiated Rate |
$23.37 |
Max. Negotiated Rate |
$41.22 |
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$29.21
|
Rate for Payer: Behavioral Services Network Commercial |
$32.13
|
Rate for Payer: Behavioral Services Network Medicare |
$29.21
|
Rate for Payer: Carelon Medicare |
$29.21
|
Rate for Payer: Lucet Commercial |
$27.75
|
Rate for Payer: Lucet Commercial |
$26.29
|
Rate for Payer: Lucet Commercial |
$23.37
|
Rate for Payer: Molina Complete Care Medicaid/Medicare |
$29.21
|
Rate for Payer: Prime Health Services Workers Comp |
$41.22
|
|
Cystic Fibrosis - Pulmonary Disease
|
Facility
|
OP
|
$0.60
|
|
Service Code
|
EAPG 00570
|
Min. Negotiated Rate |
$0.60 |
Max. Negotiated Rate |
$0.60 |
Rate for Payer: Sunshine Health Medicaid |
$0.60
|
|
Day Rehabilitation, Full Day
|
Facility
|
OP
|
$0.66
|
|
Service Code
|
EAPG 00329
|
Min. Negotiated Rate |
$0.66 |
Max. Negotiated Rate |
$0.66 |
Rate for Payer: Sunshine Health Medicaid |
$0.66
|
|
Day Rehabilitation, Half Day
|
Facility
|
OP
|
$0.23
|
|
Service Code
|
EAPG 00328
|
Min. Negotiated Rate |
$0.23 |
Max. Negotiated Rate |
$0.23 |
Rate for Payer: Sunshine Health Medicaid |
$0.23
|
|
Deep Lymph Structure Procedures
|
Facility
|
OP
|
$6.75
|
|
Service Code
|
EAPG 00115
|
Min. Negotiated Rate |
$6.75 |
Max. Negotiated Rate |
$6.75 |
Rate for Payer: Sunshine Health Medicaid |
$6.75
|
|
Degenerative Nervous System Diagnoses Exc Mult Sclerosis
|
Facility
|
OP
|
$0.27
|
|
Service Code
|
EAPG 00522
|
Min. Negotiated Rate |
$0.27 |
Max. Negotiated Rate |
$0.27 |
Rate for Payer: Sunshine Health Medicaid |
$0.27
|
|
Dental And Oral Diagnoses And Injuries
|
Facility
|
OP
|
$0.30
|
|
Service Code
|
EAPG 00563
|
Min. Negotiated Rate |
$0.30 |
Max. Negotiated Rate |
$0.30 |
Rate for Payer: Sunshine Health Medicaid |
$0.30
|
|
Dental Anesthesia
|
Facility
|
OP
|
$0.10
|
|
Service Code
|
EAPG 00375
|
Min. Negotiated Rate |
$0.10 |
Max. Negotiated Rate |
$0.10 |
Rate for Payer: Sunshine Health Medicaid |
$0.10
|
|
Depression, annually
|
Professional
|
Both
|
$55.00
|
|
Service Code
|
CPT G0444
|
Hospital Charge Code |
55G0444
|
Min. Negotiated Rate |
$6.98 |
Max. Negotiated Rate |
$30.04 |
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$8.73
|
Rate for Payer: Behavioral Services Network Commercial |
$9.60
|
Rate for Payer: Behavioral Services Network Medicare |
$8.73
|
Rate for Payer: Carelon Medicare |
$8.73
|
Rate for Payer: Lucet Commercial |
$8.29
|
Rate for Payer: Lucet Commercial |
$7.86
|
Rate for Payer: Lucet Commercial |
$6.98
|
Rate for Payer: Molina Complete Care Medicaid/Medicare |
$8.73
|
Rate for Payer: Prime Health Services Workers Comp |
$30.04
|
|
Depression Except Major Depressive Diagnoses
|
Facility
|
OP
|
$0.40
|
|
Service Code
|
EAPG 00824
|
Min. Negotiated Rate |
$0.40 |
Max. Negotiated Rate |
$0.40 |
Rate for Payer: Sunshine Health Medicaid |
$0.40
|
|
Developmental And Neuropsychological Testing
|
Facility
|
OP
|
$1.28
|
|
Service Code
|
EAPG 00310
|
Min. Negotiated Rate |
$1.28 |
Max. Negotiated Rate |
$1.28 |
Rate for Payer: Sunshine Health Medicaid |
$1.28
|
|
Diabetes With Neurologic Manifestations
|
Facility
|
OP
|
$0.26
|
|
Service Code
|
EAPG 00712
|
Min. Negotiated Rate |
$0.26 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Sunshine Health Medicaid |
$0.26
|
|
Diabetes With Ophthalmic Manifestations
|
Facility
|
OP
|
$0.38
|
|
Service Code
|
EAPG 00710
|
Min. Negotiated Rate |
$0.38 |
Max. Negotiated Rate |
$0.38 |
Rate for Payer: Sunshine Health Medicaid |
$0.38
|
|
Diabetes With Other Manifestations And Complications
|
Facility
|
OP
|
$0.33
|
|
Service Code
|
EAPG 00711
|
Min. Negotiated Rate |
$0.33 |
Max. Negotiated Rate |
$0.33 |
Rate for Payer: Sunshine Health Medicaid |
$0.33
|
|
Diabetes Without Complications
|
Facility
|
OP
|
$0.24
|
|
Service Code
|
EAPG 00713
|
Min. Negotiated Rate |
$0.24 |
Max. Negotiated Rate |
$0.24 |
Rate for Payer: Sunshine Health Medicaid |
$0.24
|
|
Diabetes With Renal Manifestations
|
Facility
|
OP
|
$0.27
|
|
Service Code
|
EAPG 00714
|
Min. Negotiated Rate |
$0.27 |
Max. Negotiated Rate |
$0.27 |
Rate for Payer: Sunshine Health Medicaid |
$0.27
|
|
Diabetes With Vascular Complications Including Foot And Other Skin Ulcers
|
Facility
|
OP
|
$0.28
|
|
Service Code
|
EAPG 00715
|
Min. Negotiated Rate |
$0.28 |
Max. Negotiated Rate |
$0.28 |
Rate for Payer: Sunshine Health Medicaid |
$0.28
|
|
Diagnostic Dental Procedures
|
Facility
|
OP
|
$0.27
|
|
Service Code
|
EAPG 00376
|
Min. Negotiated Rate |
$0.27 |
Max. Negotiated Rate |
$0.27 |
Rate for Payer: Sunshine Health Medicaid |
$0.27
|
|