|
EAPG 3.18: EATING DISORDERS
|
Facility
|
OP
|
$60.57
|
|
|
Service Code
|
EAPG 00830
|
| Min. Negotiated Rate |
$60.57 |
| Max. Negotiated Rate |
$60.57 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$60.57
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$60.57
|
|
|
EAPG 3.18: ECHOCARDIOGRAPHY
|
Facility
|
OP
|
$162.45
|
|
|
Service Code
|
EAPG 00081
|
| Min. Negotiated Rate |
$162.45 |
| Max. Negotiated Rate |
$162.45 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$162.45
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$162.45
|
|
|
EAPG 3.18: ECTOPIC PREGNANCY PROCEDURES
|
Facility
|
OP
|
$806.75
|
|
|
Service Code
|
EAPG 00179
|
| Min. Negotiated Rate |
$806.75 |
| Max. Negotiated Rate |
$806.75 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$806.75
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$806.75
|
|
|
EAPG 3.18: ELECTROCONVULSIVE THERAPY
|
Facility
|
OP
|
$192.74
|
|
|
Service Code
|
EAPG 00212
|
| Min. Negotiated Rate |
$192.74 |
| Max. Negotiated Rate |
$192.74 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$192.74
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$192.74
|
|
|
EAPG 3.18: ELECTROENCEPHALOGRAM
|
Facility
|
OP
|
$89.03
|
|
|
Service Code
|
EAPG 00211
|
| Min. Negotiated Rate |
$89.03 |
| Max. Negotiated Rate |
$89.03 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$89.03
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$89.03
|
|
|
EAPG 3.18: ELECTROLYTE DISORDERS
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
EAPG 00694
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$67.00 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$67.00
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$67.00
|
|
|
EAPG 3.18: ELECTRONIC ANALYSIS FOR PACEMAKERS AND OTHER DEVICES
|
Facility
|
OP
|
$41.30
|
|
|
Service Code
|
EAPG 00420
|
| Min. Negotiated Rate |
$41.30 |
| Max. Negotiated Rate |
$41.30 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$41.30
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$41.30
|
|
|
EAPG 3.18: EMERGING TECHNOLOGY PROCEDURES
|
Facility
|
OP
|
$41.30
|
|
|
Service Code
|
EAPG 04001
|
| Min. Negotiated Rate |
$41.30 |
| Max. Negotiated Rate |
$41.30 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$41.30
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$41.30
|
|
|
EAPG 3.18: ENCOUNTERS FOR CONTACT WITH HEALTH SERVICES
|
Facility
|
OP
|
$64.25
|
|
|
Service Code
|
EAPG 00867
|
| Min. Negotiated Rate |
$64.25 |
| Max. Negotiated Rate |
$64.25 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$64.25
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$64.25
|
|
|
EAPG 3.18: ESOPHAGITIS AND OTHER ESOPHAGEAL DIAGNOSES
|
Facility
|
OP
|
$62.41
|
|
|
Service Code
|
EAPG 00623
|
| Min. Negotiated Rate |
$62.41 |
| Max. Negotiated Rate |
$62.41 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$62.41
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$62.41
|
|
|
EAPG 3.18: ESOPHAGOGASTRIC RESTRICTIVE PROCEDURES AND GASTRIC FUNDOPLICATION
|
Facility
|
OP
|
$1,264.73
|
|
|
Service Code
|
EAPG 00129
|
| Min. Negotiated Rate |
$1,264.73 |
| Max. Negotiated Rate |
$1,264.73 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$1,264.73
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$1,264.73
|
|
|
EAPG 3.18: ESRD CASE MANAGEMENT
|
Facility
|
OP
|
$10.10
|
|
|
Service Code
|
EAPG 00261
|
| Min. Negotiated Rate |
$10.10 |
| Max. Negotiated Rate |
$10.10 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10.10
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10.10
|
|
|
EAPG 3.18: EXERCISE TOLERANCE TESTS
|
Facility
|
OP
|
$83.52
|
|
|
Service Code
|
EAPG 00080
|
| Min. Negotiated Rate |
$83.52 |
| Max. Negotiated Rate |
$83.52 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$83.52
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$83.52
|
|
|
EAPG 3.18: EXPANDED HOURS ACCESS
|
Facility
|
OP
|
$7.34
|
|
|
Service Code
|
EAPG 00448
|
| Min. Negotiated Rate |
$7.34 |
| Max. Negotiated Rate |
$7.34 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$7.34
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$7.34
|
|
|
EAPG 3.18: EXTENDED EEG STUDIES
|
Facility
|
OP
|
$161.53
|
|
|
Service Code
|
EAPG 00210
|
| Min. Negotiated Rate |
$161.53 |
| Max. Negotiated Rate |
$161.53 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$161.53
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$161.53
|
|
|
EAPG 3.18: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
OP
|
$82.60
|
|
|
Service Code
|
EAPG 00860
|
| Min. Negotiated Rate |
$82.60 |
| Max. Negotiated Rate |
$82.60 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$82.60
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$82.60
|
|
|
EAPG 3.18: FALSE LABOR
|
Facility
|
OP
|
$100.96
|
|
|
Service Code
|
EAPG 00764
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$100.96 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$100.96
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$100.96
|
|
|
EAPG 3.18: FAMILY PSYCHOTHERAPY
|
Facility
|
OP
|
$56.90
|
|
|
Service Code
|
EAPG 00317
|
| Min. Negotiated Rate |
$56.90 |
| Max. Negotiated Rate |
$56.90 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$56.90
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$56.90
|
|
|
EAPG 3.18: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
OP
|
$66.08
|
|
|
Service Code
|
EAPG 00751
|
| Min. Negotiated Rate |
$66.08 |
| Max. Negotiated Rate |
$66.08 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$66.08
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$66.08
|
|
|
EAPG 3.18: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
OP
|
$60.57
|
|
|
Service Code
|
EAPG 00750
|
| Min. Negotiated Rate |
$60.57 |
| Max. Negotiated Rate |
$60.57 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$60.57
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$60.57
|
|
|
EAPG 3.18: FEVER
|
Facility
|
OP
|
$66.08
|
|
|
Service Code
|
EAPG 00807
|
| Min. Negotiated Rate |
$66.08 |
| Max. Negotiated Rate |
$66.08 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$66.08
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$66.08
|
|
|
EAPG 3.18: FIXATION DEVICE INSERTION OR REPLACEMENT PROCEDURES
|
Facility
|
OP
|
$858.14
|
|
|
Service Code
|
EAPG 00054
|
| Min. Negotiated Rate |
$858.14 |
| Max. Negotiated Rate |
$858.14 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$858.14
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$858.14
|
|
|
EAPG 3.18: FRACTURES, DISLOCATIONS AND SPRAINS OF THE SKULL, CRANIUM AND FACE
|
Facility
|
OP
|
$70.67
|
|
|
Service Code
|
EAPG 00648
|
| Min. Negotiated Rate |
$70.67 |
| Max. Negotiated Rate |
$70.67 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$70.67
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$70.67
|
|
|
EAPG 3.18: FRACTURES, DISLOCATIONS, OTHER INJURIES - LOWER EXTREMITY INCLUDING FEMUR
|
Facility
|
OP
|
$104.63
|
|
|
Service Code
|
EAPG 00650
|
| Min. Negotiated Rate |
$104.63 |
| Max. Negotiated Rate |
$104.63 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$104.63
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$104.63
|
|
|
EAPG 3.18: FRACTURES, DISLOCATIONS & OTHER INJURIES OF THE NECK, UPPER BACK AND CHEST
|
Facility
|
OP
|
$74.34
|
|
|
Service Code
|
EAPG 00656
|
| Min. Negotiated Rate |
$74.34 |
| Max. Negotiated Rate |
$74.34 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$74.34
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$74.34
|
|