|
EAPG 3.18: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
OP
|
$75.26
|
|
|
Service Code
|
EAPG 00654
|
| Min. Negotiated Rate |
$75.26 |
| Max. Negotiated Rate |
$75.26 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$75.26
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$75.26
|
|
|
EAPG 3.18: OSTEOPOROSIS
|
Facility
|
OP
|
$52.31
|
|
|
Service Code
|
EAPG 00662
|
| Min. Negotiated Rate |
$52.31 |
| Max. Negotiated Rate |
$52.31 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$52.31
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$52.31
|
|
|
EAPG 3.18: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
OP
|
$62.41
|
|
|
Service Code
|
EAPG 00872
|
| 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: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
OP
|
$70.67
|
|
|
Service Code
|
EAPG 00765
|
| 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: OTHER BEHAVIORAL HEALTH DIAGNOSES
|
Facility
|
OP
|
$60.57
|
|
|
Service Code
|
EAPG 00831
|
| 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: OTHER CARDIOVASCULAR SYSTEM DIAGNOSES
|
Facility
|
OP
|
$65.16
|
|
|
Service Code
|
EAPG 00592
|
| Min. Negotiated Rate |
$65.16 |
| Max. Negotiated Rate |
$65.16 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$65.16
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$65.16
|
|
|
EAPG 3.18: OTHER CENTRAL NERVOUS SYSTEM DIAGNOSES
|
Facility
|
OP
|
$62.41
|
|
|
Service Code
|
EAPG 00524
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
OP
|
$78.93
|
|
|
Service Code
|
EAPG 00852
|
| Min. Negotiated Rate |
$78.93 |
| Max. Negotiated Rate |
$78.93 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$78.93
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$78.93
|
|
|
EAPG 3.18: OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY
|
Facility
|
OP
|
$1,352.84
|
|
|
Service Code
|
EAPG 00267
|
| Min. Negotiated Rate |
$1,352.84 |
| Max. Negotiated Rate |
$1,352.84 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$1,352.84
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$1,352.84
|
|
|
EAPG 3.18: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
OP
|
$73.42
|
|
|
Service Code
|
EAPG 00843
|
| Min. Negotiated Rate |
$73.42 |
| Max. Negotiated Rate |
$73.42 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$73.42
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$73.42
|
|
|
EAPG 3.18: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIOFACIAL DIAGNOSES
|
Facility
|
OP
|
$64.25
|
|
|
Service Code
|
EAPG 00564
|
| 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: OTHER ENDOCRINE SYSTEM DIAGNOSES
|
Facility
|
OP
|
$63.33
|
|
|
Service Code
|
EAPG 00692
|
| Min. Negotiated Rate |
$63.33 |
| Max. Negotiated Rate |
$63.33 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$63.33
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$63.33
|
|
|
EAPG 3.18: OTHER EYE INFECTION DIAGNOSES
|
Facility
|
OP
|
$68.83
|
|
|
Service Code
|
EAPG 00557
|
| Min. Negotiated Rate |
$68.83 |
| Max. Negotiated Rate |
$68.83 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$68.83
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$68.83
|
|
|
EAPG 3.18: OTHER FEMALE REPRODUCTIVE SYSTEM AND MENSTRUAL DIAGNOSES
|
Facility
|
OP
|
$59.66
|
|
|
Service Code
|
EAPG 00752
|
| Min. Negotiated Rate |
$59.66 |
| Max. Negotiated Rate |
$59.66 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$59.66
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$59.66
|
|
|
EAPG 3.18: OTHER GASTROINTESTINAL SYSTEM DIAGNOSES
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
EAPG 00624
|
| 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: OTHER GYNECOLOGICAL PROCEDURES
|
Facility
|
OP
|
$282.68
|
|
|
Service Code
|
EAPG 00209
|
| Min. Negotiated Rate |
$282.68 |
| Max. Negotiated Rate |
$282.68 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$282.68
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$282.68
|
|
|
EAPG 3.18: OTHER HEMATOLOGICAL DIAGNOSES
|
Facility
|
OP
|
$72.51
|
|
|
Service Code
|
EAPG 00780
|
| Min. Negotiated Rate |
$72.51 |
| Max. Negotiated Rate |
$72.51 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$72.51
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$72.51
|
|
|
EAPG 3.18: OTHER HEPATOBILIARY SYSTEM DIAGNOSES
|
Facility
|
OP
|
$66.08
|
|
|
Service Code
|
EAPG 00639
|
| 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: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
OP
|
$61.49
|
|
|
Service Code
|
EAPG 00809
|
| Min. Negotiated Rate |
$61.49 |
| Max. Negotiated Rate |
$61.49 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$61.49
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$61.49
|
|
|
EAPG 3.18: OTHER INJURIES AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
|
Facility
|
OP
|
$96.37
|
|
|
Service Code
|
EAPG 00652
|
| Min. Negotiated Rate |
$96.37 |
| Max. Negotiated Rate |
$96.37 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$96.37
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$96.37
|
|
|
EAPG 3.18: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
OP
|
$82.60
|
|
|
Service Code
|
EAPG 00853
|
| 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: OTHER INTRA-ABDOMINAL AND INTRAPERITONEAL SURGICAL PROCEDURES
|
Facility
|
OP
|
$1,041.70
|
|
|
Service Code
|
EAPG 00108
|
| Min. Negotiated Rate |
$1,041.70 |
| Max. Negotiated Rate |
$1,041.70 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$1,041.70
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$1,041.70
|
|
|
EAPG 3.18: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
EAPG 00726
|
| 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: OTHER MAJOR LIVER DIAGNOSES
|
Facility
|
OP
|
$64.25
|
|
|
Service Code
|
EAPG 00641
|
| 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: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES
|
Facility
|
OP
|
$66.08
|
|
|
Service Code
|
EAPG 00741
|
| 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
|
|