Code: 15120

Description:
HC SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM<1 %
Other Descriptions:
SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/
Skn splt a+AC0-grft fac/nck/hf/g
SPLIT GRFT PROC HEAD,FAC,HAND <100CM
Related codes:
Code: 15121
Skn splt a-grft f/n/hf/g add
Wisconsin
Hospital Address Code Price Last Updated
Prairie Ridge Health 1515 Park Ave, Columbus 15120 $1,348 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 15120 $2,066 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 15120 $2,514 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 15120 $2,633 [source] 3 years ago
River Falls Area Hospital , River Falls 15120 $4,006 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 15120 $4,441 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 15120 $4,441 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 15120 $4,441 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 15120 $5,806 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 15120 $5,978 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 15120 $6,995 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 15120 $7,971 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 15120 $7,971 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 15120 $7,971 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 15120 $7,971 [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.