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:

PRO-SIMPLE REPAIR SCALP

HC SMPL RPR SUPFC S/N/AX/G/T 2.6CM-7.5CM

HC SMPL RPR SUPFC S/N/AX/G/T 12.6CM-20.0CM

HC SMPL RPR SUPFC S/N/AX/G/T 20.1CM-30.0CM

HC SMPL RPR SUPFC S/N/AX/G/T > 30.0CM

Oklahoma

Hospital	Address	Code	Price	Last Updated
St. John Owasso	12451 E 100Th St N, Owasso	12004	$141 [source]	3 years ago
St. John Medical Center	1923 S Utica Ave, Tulsa	12004	$141 [source]	3 years ago
St. Mary’S Regional Medical Center	305 South 5Th Street, Enid	12004	$509 [source]	3 years ago
Southwestern Behavioral Health Center	1602 Sw 82Nd St., Lawton	12004	$587 [source]	3 years ago
Southwestern Medical Center	5602 S.w. Lee Boulevard, Lawton	12004	$587 [source]	3 years ago
St John Sapulpa, Inc.	1004 E Bryan Ave, Sapulpa	12004	$1,236 [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 §180.