Code: 15121

Description:
Skn splt a-grft f/n/hf/g add
Other Descriptions:
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %
Skn splt a+AC0-grft f/n/hf/g add
Split Grft Proc Head,fac,han Ea100cm
Related codes:
Code: 15120
HC SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM<1 %
Wisconsin
Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton 15121 $392 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 15121 $651 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 15121 $866 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 15121 $949 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 15121 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 15121 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 15121 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 15121 $1,265 [source] 3 years ago
River Falls Area Hospital , River Falls 15121 $3,327 [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.