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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln 12057 $1,087 [source] 3 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney 12057 $1,087 [source] 3 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler 12057 $1,607 [source] 3 years ago
Chi Health Plainview 704 N 3Rd St, Plainview 12057 $1,607 [source] 3 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City 12057 $1,607 [source] 3 years ago
Chi Health Lakeside 17201 Wright St, Omaha 12057 $3,044 [source] 3 years ago
Chi Health Midlands 11111 S 84Th St, Papillion 12057 $3,044 [source] 3 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha 12057 $3,044 [source] 3 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha 12057 $3,044 [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.