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
Indiana
Hospital Address Code Price Last Updated
Scott Memorial Health 1451 N. Gardner P.o. Box 430, Scottsburg 12057 $313 [source] 3 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis 12057 $1,197 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport 12057 $1,197 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem 12057 $1,197 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Kokomo 1907 W Sycamore St, Kokomo 12057 $1,197 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis 12057 $1,197 [source] 3 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil 12057 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, 12057 $6,012 [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.