Code: 12016

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 12.6CM-20.0CM
Other Descriptions:
SIM LAC FACE-EAR 12.6-20CM
RSW SIMPLE FACE 12.6CM-20CM
Rpr fe/e/en/l/m 12.6-20.0 cm
SMP LAC.FCE/EAR 12.6-20CM
REPAIR SIM B 12.6+AC0-20.0CM PF
Rpr fe/e/en/l/m 12.6+AC0-20.0 cm
Srep F/e/n/l/mm; 12.6-20.0cm
Related codes:
Code: 12011
HC SMPL RPR SUPFC F/E/E/N/L/M 2.5CM/<
Code: 12013
HC SMPL RPR SUPFC F/E/E/N/L/M 2.6CM-5.0CM
Code: 12014
HC SMPL RPR SUPFC F/E/E/N/L/M 5.1CM-7.5CM
Code: 12015
HC SMPL RPR SUPFC F/E/E/N/L/M 7.6CM-12.5CM
Code: 12017
HC SMPL RPR SUPFC F/E/E/N/L/M 20.1CM-30.0 CM
Code: 12018
HC SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
Maine
Hospital Address Code Price Last Updated
Eastern Maine Healthcare Systems Inland Hospital 200 Kennedy Memorial Dr, Waterville 12016 $283 [source] 3 years ago
Sebasticook Valley Health 447 N Main St, Pittsfield 12016 $325 [source] 3 years ago
Mercy Hospital 144 State St, Portland 12016 $473 [source] 3 years ago
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville 12016 $504 [source] 3 years ago
Eastern Maine Medical Center 489 State St, Bangor 12016 $632 [source] 3 years ago
Northern Light Maine Coast Hospital 50 Union St, Ellsworth 12016 $758 [source] 3 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle 12016 $984 [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.