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
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 12057 $231 [source] 3 years ago
River Falls Area Hospital , River Falls 12057 $634 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 12057 $949 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 12057 $1,093 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 12057 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 12057 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 12057 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 12057 $1,265 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 12057 $1,284 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 12057 $1,469 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 12057 $1,866 [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.