Code: 12055

Description:
HC LYR CLSR F/E/E/N/L/M&/MUC 12.6 CM-20.0 CM
Other Descriptions:
INT LAC FACE-EARS 12.6-20CM
RPR INTRM WOUND FEENLM 12.6-20
INTRM.RPR FACE 12.6-20CM
REPAIR INT C 12.6+AC0-20.0CM PF
Intmd rpr face/mm 12.6+AC0-20 cm
Intmd Wnd Repair Face/mm 12.6-20.0 Cm
Related codes:
Code: 12051
PRO-LYR INTER FACE<2.5
Code: 12052
HC LYR CLSR F/E/E/N/L/M&/MUC 2.6 CM-5.0 CM
Code: 12053
HC LYR CLSR F/E/E/N/L/M&/MUC 5.1 CM-7.5 CM
Code: 12054
HC LYR CLSR F/E/E/N/L/M&/MUC 7.6 CM-12.5 CM
Code: 12056
HC LYR CLSR F/E/E/N/L/M&/MUC 20.1 CM-30.0 CM
Code: 12057
HC LYR CLSR F/E/E/N/L/M&/MUC > 30.0 CM
Idaho
Hospital Address Code Price Last Updated
West Valley Medical Center 3720 S Indiana Ave, Caldwell 12055 $419 [source] 3 years ago
Boundary Community Hospital 6640 Kaniksu St, Bonners Ferry 12055 $471 [source] 3 years ago
Shoshone Medical Center 25 Jacobs Gulch Rd, Kellogg 12055 $576 [source] 3 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier 12055 $676 [source] 3 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon 12055 $718 [source] 3 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint 12055 $786 [source] 3 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs 12055 $880 [source] 3 years ago
Power County Hospital 510 Roosevelt St, American Falls 12055 $885 [source] 3 years ago
North Canyon Medical Center 267 North Canyon Drive, Gooding 12055 $926 [source] 3 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene 12055 $1,174 [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.