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Charge Type Setting Price  
Service Code EAPG 02071
Min. Negotiated Rate $35.23
Max. Negotiated Rate $36.64
Rate for Payer: Anthem Medicaid $35.23
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $35.23
Rate for Payer: Dean Health Medicaid $35.23
Rate for Payer: Independent Care Health Plan Medicaid $35.23
Rate for Payer: Managed Health Services Medicaid $36.64
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $35.23
Rate for Payer: United Healthcare Medicaid $35.23
Rate for Payer: WMAP Medicaid $35.23
Service Code EAPG 02072
Min. Negotiated Rate $17.33
Max. Negotiated Rate $18.02
Rate for Payer: Anthem Medicaid $17.33
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $17.33
Rate for Payer: Dean Health Medicaid $17.33
Rate for Payer: Independent Care Health Plan Medicaid $17.33
Rate for Payer: Managed Health Services Medicaid $18.02
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $17.33
Rate for Payer: United Healthcare Medicaid $17.33
Rate for Payer: WMAP Medicaid $17.33
Service Code EAPG 00207
Min. Negotiated Rate $965.70
Max. Negotiated Rate $1,004.33
Rate for Payer: Anthem Medicaid $965.70
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $965.70
Rate for Payer: Dean Health Medicaid $965.70
Rate for Payer: Independent Care Health Plan Medicaid $965.70
Rate for Payer: Managed Health Services Medicaid $1,004.33
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $965.70
Rate for Payer: United Healthcare Medicaid $965.70
Rate for Payer: WMAP Medicaid $965.70
Service Code EAPG 00208
Min. Negotiated Rate $1,760.20
Max. Negotiated Rate $1,830.61
Rate for Payer: Anthem Medicaid $1,760.20
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,760.20
Rate for Payer: Dean Health Medicaid $1,760.20
Rate for Payer: Independent Care Health Plan Medicaid $1,760.20
Rate for Payer: Managed Health Services Medicaid $1,830.61
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $1,760.20
Rate for Payer: United Healthcare Medicaid $1,760.20
Rate for Payer: WMAP Medicaid $1,760.20
Service Code EAPG 00209
Min. Negotiated Rate $220.94
Max. Negotiated Rate $229.78
Rate for Payer: Anthem Medicaid $220.94
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $220.94
Rate for Payer: Dean Health Medicaid $220.94
Rate for Payer: Independent Care Health Plan Medicaid $220.94
Rate for Payer: Managed Health Services Medicaid $229.78
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $220.94
Rate for Payer: United Healthcare Medicaid $220.94
Rate for Payer: WMAP Medicaid $220.94
Service Code EAPG 00020
Min. Negotiated Rate $552.75
Max. Negotiated Rate $974.22
Rate for Payer: Anthem Medicaid $552.75
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $974.22
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $552.75
Rate for Payer: Dean Health Medicaid $552.75
Rate for Payer: Independent Care Health Plan Medicaid $552.75
Rate for Payer: Managed Health Services Medicaid $574.86
Rate for Payer: Molina Healthcare Medicaid $974.22
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $552.75
Rate for Payer: United Healthcare Medicaid $552.75
Rate for Payer: WMAP Medicaid $552.75
Service Code EAPG 00210
Min. Negotiated Rate $186.20
Max. Negotiated Rate $362.43
Rate for Payer: Anthem Medicaid $186.20
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $362.43
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $186.20
Rate for Payer: Dean Health Medicaid $186.20
Rate for Payer: Independent Care Health Plan Medicaid $186.20
Rate for Payer: Managed Health Services Medicaid $193.65
Rate for Payer: Molina Healthcare Medicaid $362.43
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $186.20
Rate for Payer: United Healthcare Medicaid $186.20
Rate for Payer: WMAP Medicaid $186.20
Service Code EAPG 00211
Min. Negotiated Rate $137.69
Max. Negotiated Rate $204.65
Rate for Payer: Anthem Medicaid $137.69
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $204.65
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $137.69
Rate for Payer: Dean Health Medicaid $137.69
Rate for Payer: Independent Care Health Plan Medicaid $137.69
Rate for Payer: Managed Health Services Medicaid $143.20
Rate for Payer: Molina Healthcare Medicaid $204.65
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $137.69
Rate for Payer: United Healthcare Medicaid $137.69
Rate for Payer: WMAP Medicaid $137.69
Service Code EAPG 00212
Min. Negotiated Rate $203.70
Max. Negotiated Rate $383.12
Rate for Payer: Anthem Medicaid $203.70
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $383.12
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $203.70
Rate for Payer: Dean Health Medicaid $203.70
Rate for Payer: Independent Care Health Plan Medicaid $203.70
Rate for Payer: Managed Health Services Medicaid $211.85
Rate for Payer: Molina Healthcare Medicaid $383.12
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $203.70
Rate for Payer: United Healthcare Medicaid $203.70
Rate for Payer: WMAP Medicaid $203.70
Service Code EAPG 00213
Min. Negotiated Rate $55.08
Max. Negotiated Rate $259.49
Rate for Payer: Anthem Medicaid $55.08
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $259.49
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $55.08
Rate for Payer: Dean Health Medicaid $55.08
Rate for Payer: Independent Care Health Plan Medicaid $55.08
Rate for Payer: Managed Health Services Medicaid $57.28
Rate for Payer: Molina Healthcare Medicaid $259.49
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $55.08
Rate for Payer: United Healthcare Medicaid $55.08
Rate for Payer: WMAP Medicaid $55.08
Service Code EAPG 00214
Min. Negotiated Rate $165.75
Max. Negotiated Rate $347.56
Rate for Payer: Anthem Medicaid $165.75
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $347.56
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $165.75
Rate for Payer: Dean Health Medicaid $165.75
Rate for Payer: Independent Care Health Plan Medicaid $165.75
Rate for Payer: Managed Health Services Medicaid $172.38
Rate for Payer: Molina Healthcare Medicaid $347.56
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $165.75
Rate for Payer: United Healthcare Medicaid $165.75
Rate for Payer: WMAP Medicaid $165.75
Service Code EAPG 00217
Min. Negotiated Rate $559.46
Max. Negotiated Rate $845.60
Rate for Payer: Anthem Medicaid $559.46
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $845.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $559.46
Rate for Payer: Dean Health Medicaid $559.46
Rate for Payer: Independent Care Health Plan Medicaid $559.46
Rate for Payer: Managed Health Services Medicaid $581.84
Rate for Payer: Molina Healthcare Medicaid $845.60
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $559.46
Rate for Payer: United Healthcare Medicaid $559.46
Rate for Payer: WMAP Medicaid $559.46
Service Code EAPG 00218
Min. Negotiated Rate $1,984.74
Max. Negotiated Rate $3,874.98
Rate for Payer: Anthem Medicaid $1,984.74
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $3,874.98
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,984.74
Rate for Payer: Dean Health Medicaid $1,984.74
Rate for Payer: Independent Care Health Plan Medicaid $1,984.74
Rate for Payer: Managed Health Services Medicaid $2,064.13
Rate for Payer: Molina Healthcare Medicaid $3,874.98
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $1,984.74
Rate for Payer: United Healthcare Medicaid $1,984.74
Rate for Payer: WMAP Medicaid $1,984.74
Service Code EAPG 00021
Min. Negotiated Rate $1,351.65
Max. Negotiated Rate $2,230.35
Rate for Payer: Anthem Medicaid $1,351.65
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $2,230.35
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,351.65
Rate for Payer: Dean Health Medicaid $1,351.65
Rate for Payer: Independent Care Health Plan Medicaid $1,351.65
Rate for Payer: Managed Health Services Medicaid $1,405.72
Rate for Payer: Molina Healthcare Medicaid $2,230.35
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $1,351.65
Rate for Payer: United Healthcare Medicaid $1,351.65
Rate for Payer: WMAP Medicaid $1,351.65
Service Code EAPG 00220
Min. Negotiated Rate $531.68
Max. Negotiated Rate $630.34
Rate for Payer: Anthem Medicaid $531.68
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $630.34
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $531.68
Rate for Payer: Dean Health Medicaid $531.68
Rate for Payer: Independent Care Health Plan Medicaid $531.68
Rate for Payer: Managed Health Services Medicaid $552.95
Rate for Payer: Molina Healthcare Medicaid $630.34
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $531.68
Rate for Payer: United Healthcare Medicaid $531.68
Rate for Payer: WMAP Medicaid $531.68
Service Code EAPG 00222
Min. Negotiated Rate $328.43
Max. Negotiated Rate $606.41
Rate for Payer: Anthem Medicaid $328.43
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $606.41
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $328.43
Rate for Payer: Dean Health Medicaid $328.43
Rate for Payer: Independent Care Health Plan Medicaid $328.43
Rate for Payer: Managed Health Services Medicaid $341.57
Rate for Payer: Molina Healthcare Medicaid $606.41
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $328.43
Rate for Payer: United Healthcare Medicaid $328.43
Rate for Payer: WMAP Medicaid $328.43
Service Code EAPG 00223
Min. Negotiated Rate $2,540.67
Max. Negotiated Rate $9,838.23
Rate for Payer: Anthem Medicaid $2,540.67
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $9,838.23
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $2,540.67
Rate for Payer: Dean Health Medicaid $2,540.67
Rate for Payer: Independent Care Health Plan Medicaid $2,540.67
Rate for Payer: Managed Health Services Medicaid $2,642.30
Rate for Payer: Molina Healthcare Medicaid $9,838.23
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $2,540.67
Rate for Payer: United Healthcare Medicaid $2,540.67
Rate for Payer: WMAP Medicaid $2,540.67
Service Code EAPG 00224
Min. Negotiated Rate $7,840.45
Max. Negotiated Rate $17,808.78
Rate for Payer: Anthem Medicaid $7,840.45
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $17,808.78
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $7,840.45
Rate for Payer: Dean Health Medicaid $7,840.45
Rate for Payer: Independent Care Health Plan Medicaid $7,840.45
Rate for Payer: Managed Health Services Medicaid $8,154.07
Rate for Payer: Molina Healthcare Medicaid $17,808.78
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $7,840.45
Rate for Payer: United Healthcare Medicaid $7,840.45
Rate for Payer: WMAP Medicaid $7,840.45
Service Code EAPG 00225
Min. Negotiated Rate $1,573.71
Max. Negotiated Rate $1,636.66
Rate for Payer: Anthem Medicaid $1,573.71
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,573.71
Rate for Payer: Dean Health Medicaid $1,573.71
Rate for Payer: Independent Care Health Plan Medicaid $1,573.71
Rate for Payer: Managed Health Services Medicaid $1,636.66
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $1,573.71
Rate for Payer: United Healthcare Medicaid $1,573.71
Rate for Payer: WMAP Medicaid $1,573.71
Service Code EAPG 00226
Min. Negotiated Rate $63.08
Max. Negotiated Rate $65.60
Rate for Payer: Anthem Medicaid $63.08
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $63.08
Rate for Payer: Dean Health Medicaid $63.08
Rate for Payer: Independent Care Health Plan Medicaid $63.08
Rate for Payer: Managed Health Services Medicaid $65.60
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $63.08
Rate for Payer: United Healthcare Medicaid $63.08
Rate for Payer: WMAP Medicaid $63.08
Service Code EAPG 00227
Min. Negotiated Rate $1,086.30
Max. Negotiated Rate $1,129.75
Rate for Payer: Anthem Medicaid $1,086.30
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,086.30
Rate for Payer: Dean Health Medicaid $1,086.30
Rate for Payer: Independent Care Health Plan Medicaid $1,086.30
Rate for Payer: Managed Health Services Medicaid $1,129.75
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $1,086.30
Rate for Payer: United Healthcare Medicaid $1,086.30
Rate for Payer: WMAP Medicaid $1,086.30
Service Code EAPG 00228
Min. Negotiated Rate $2,071.88
Max. Negotiated Rate $2,154.76
Rate for Payer: Anthem Medicaid $2,071.88
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $2,071.88
Rate for Payer: Dean Health Medicaid $2,071.88
Rate for Payer: Independent Care Health Plan Medicaid $2,071.88
Rate for Payer: Managed Health Services Medicaid $2,154.76
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $2,071.88
Rate for Payer: United Healthcare Medicaid $2,071.88
Rate for Payer: WMAP Medicaid $2,071.88
Service Code EAPG 00229
Min. Negotiated Rate $12.69
Max. Negotiated Rate $13.20
Rate for Payer: Anthem Medicaid $12.69
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $12.69
Rate for Payer: Dean Health Medicaid $12.69
Rate for Payer: Independent Care Health Plan Medicaid $12.69
Rate for Payer: Managed Health Services Medicaid $13.20
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $12.69
Rate for Payer: United Healthcare Medicaid $12.69
Rate for Payer: WMAP Medicaid $12.69
Service Code EAPG 00022
Min. Negotiated Rate $3,001.19
Max. Negotiated Rate $4,107.32
Rate for Payer: Anthem Medicaid $3,001.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $4,107.32
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $3,001.19
Rate for Payer: Dean Health Medicaid $3,001.19
Rate for Payer: Independent Care Health Plan Medicaid $3,001.19
Rate for Payer: Managed Health Services Medicaid $3,121.24
Rate for Payer: Molina Healthcare Medicaid $4,107.32
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $3,001.19
Rate for Payer: United Healthcare Medicaid $3,001.19
Rate for Payer: WMAP Medicaid $3,001.19
Service Code EAPG 00230
Min. Negotiated Rate $120.05
Max. Negotiated Rate $277.99
Rate for Payer: Anthem Medicaid $120.05
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO $277.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $120.05
Rate for Payer: Dean Health Medicaid $120.05
Rate for Payer: Independent Care Health Plan Medicaid $120.05
Rate for Payer: Managed Health Services Medicaid $124.85
Rate for Payer: Molina Healthcare Medicaid $277.99
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $120.05
Rate for Payer: United Healthcare Medicaid $120.05
Rate for Payer: WMAP Medicaid $120.05