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
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 12056 $169 [source] 3 years ago
River Falls Area Hospital , River Falls 12056 $634 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 12056 $949 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 12056 $1,093 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 12056 $1,145 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 12056 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 12056 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 12056 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 12056 $1,265 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 12056 $1,453 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 12056 $1,750 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 12056 $2,232 [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.