Code: 12017

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 20.1CM-30.0 CM
Other Descriptions:
RSW SIMPLE FACE 20.1CM-30CM
SIM LAC FACE-EAR 20.1-30CM
Rpr fe/e/en/l/m 20.1-30.0 cm
SMP LAC.FCE/EAR 20.1-30CM
REPAIR SIM B 20.1+AC0-30.0CM PF
Rpr fe/e/en/l/m 20.1+AC0-30.0 cm
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: 12016
HC SMPL RPR SUPFC F/E/E/N/L/M 12.6CM-20.0CM
Code: 12018
HC SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
Oklahoma
Hospital Address Code Price Last Updated
St. John Owasso 12451 E 100Th St N, Owasso 12017 $259 [source] 3 years ago
St. John Medical Center 1923 S Utica Ave, Tulsa 12017 $259 [source] 3 years ago
St. Mary’S Regional Medical Center 305 South 5Th Street, Enid 12017 $1,169 [source] 3 years ago
St John Sapulpa, Inc. 1004 E Bryan Ave, Sapulpa 12017 $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 ยง180.