Code: 12004

Description:
HC SMPL RPR SUPFC S/N/AX/G/T 7.6CM-12.5CM
Other Descriptions:
SIM LAC SCLP-BDY 7.6-12.5CM
RSW SIMP H/N/T/E 7.6-12.5CM
PC WOUND GEN 7.6 - 12.5CM
ER REPA-SUTUR 2IN TO 3IN
REPAIR SW SCALP/NECK 7.6-
SIMP.LAC.RPR 7.6-12.5CM
SIMP RPR SCP AX GN TNK EXT PHY
REPAIR SIM A 7.6+AC0-12.5CM PF
Rpr s/n/ax/gen/trk7.6+AC0-12.5cm
Related codes:
Code: 12001
PRO-SIMPLE REPAIR SCALP
Code: 12002
HC SMPL RPR SUPFC S/N/AX/G/T 2.6CM-7.5CM
Code: 12005
HC SMPL RPR SUPFC S/N/AX/G/T 12.6CM-20.0CM
Code: 12006
HC SMPL RPR SUPFC S/N/AX/G/T 20.1CM-30.0CM
Code: 12007
HC SMPL RPR SUPFC S/N/AX/G/T > 30.0CM
Arizona
Hospital Address Code Price Last Updated
Valley View Medical Center 5330 South Highway 95, Fort Mohave 12004 $1,062 [source] 3 years ago
Abrazo Arizona Heart Hospital 1930 East Thomas Rd., Phoenix 12004 $2,924 [source] 3 years ago
Carondelet St. Mary's Hospital 1601 W. St. Mary's Road, Tucson 12004 $4,206 [source] 3 years ago
Carondelet Holy Cross Hospital 1171 W. Target Range Road, Nogales 12004 $5,658 [source] 3 years ago
Abrazo Arrowhead Campus 18701 North 67Th Ave., Glendale 12004 $6,910 [source] 3 years ago
Abrazo Central Hospital 2000 West Bethany Home Rd., Phoenix 12004 $7,351 [source] 3 years ago
Carondelet St. Joseph's Hospital 350 N. Wilmot Road, Tucson 12004 $7,693 [source] 3 years ago
Abrazo West Campus 13677 West Mcdowell Rd., Peoria 12004 $11,492 [source] 3 years ago
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.