Code: 12057

Description:
HC LYR CLSR F/E/E/N/L/M&/MUC > 30.0 CM
Other Descriptions:
INT LAC FACE-EARS >30CM
RPR INTRM WOUND FEENLM >30CM
Intmd rpr face/mm >30.0 cm
INTERM.REPAIR FACE >30CM
REPAIR INT C +AD4-30CM PF
Intmd rpr face/mm +AD4-30.0 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: 12055
HC LYR CLSR F/E/E/N/L/M&/MUC 12.6 CM-20.0 CM
Code: 12056
HC LYR CLSR F/E/E/N/L/M&/MUC 20.1 CM-30.0 CM
Idaho
Hospital Address Code Price Last Updated
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene 12057 $798 [source] 3 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier 12057 $990 [source] 3 years ago
Power County Hospital 510 Roosevelt St, American Falls 12057 $1,191 [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.