Code: 12056

Description:
HC LYR CLSR F/E/E/N/L/M&/MUC 20.1 CM-30.0 CM
Other Descriptions:
RPR INTRM WOUND FEENLM 20.1-30
LCW INTER FACE 20.1CM-30CM
Intmd rpr face/mm 20.1-30.0
INTERM.RPR FACE 20.1-30CM
REPAIR INT C 20.1+AC0-30.0CM PF
Intmd rpr face/mm 20.1+AC0-30.0
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: 12055
HC LYR CLSR F/E/E/N/L/M&/MUC 12.6 CM-20.0 CM
Code: 12057
HC LYR CLSR F/E/E/N/L/M&/MUC > 30.0 CM
Idaho
Hospital Address Code Price Last Updated
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier 12056 $711 [source] 3 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene 12056 $721 [source] 3 years ago
West Valley Medical Center 3720 S Indiana Ave, Caldwell 12056 $900 [source] 3 years ago
North Canyon Medical Center 267 North Canyon Drive, Gooding 12056 $1,080 [source] 3 years ago
Power County Hospital 510 Roosevelt St, American Falls 12056 $1,100 [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.