Code: C1765

Description:

Description: Adhesion barrier
HCPCS Category: Temporary hospital OPPS

Other Descriptions:

SEPRAFILM ADH BAR 5X3X6

BARRIER ADH 7X5 FLEXIGLI

BARRIER ADHESION 3X2IN

INTERCEED

ADHESION BARRIER ($0-25)

ADHESION BARRIER ($2500.01-4500)

ADHESION BARRIER ($25000.01-30000)

ADHESION BARRIER ($300.01-650)

ADHESION BARRIER ($30000.01-40000)

Related codes:

DEVICE CLSR 6-7FR MYNX V

RPTRLMNRL PTCA BN 4.5X15

PROLIFT PELVIC TOTAL

PELVC FLOOR MATRX GRFT

ILR RVEAL+ 9526US

INTRO SM CURL 91X71 8.5

GEN SINGLE PIN SENTIVA

PTCH CV 06X5X7.5

GW VASC 150X.025 STR TIP

State	Average	# Hospitals In Database
New Jersey (NJ)	$93	2
Illinois (IL)	$229	1
Minnesota (MN)	$411	18
Pennsylvania (PA)	$516	3
North Carolina (NC)	$542	13
Alabama (AL)	$664	4
North Dakota (ND)	$731	2
Vermont (VT)	$734	1
Kansas (KS)	$763	1
Washington (WA)	$942	3
Mississippi (MS)	$1,010	3
Massachusetts (MA)	$1,011	14
Maryland (MD)	$1,066	12
New York (NY)	$1,071	3
Indiana (IN)	$1,164	9
Iowa (IA)	$1,196	3
Nebraska (NE)	$1,196	10
Utah (UT)	$1,244	2
Ohio (OH)	$1,264	10
District of Columbia (DC)	$1,331	2
Maine (ME)	$1,352	3
Kentucky (KY)	$1,359	7
Wisconsin (WI)	$1,522	19
Connecticut (CT)	$1,562	7
Florida (FL)	$1,783	81
Tennessee (TN)	$1,800	8
Wyoming (WY)	$1,817	2
West Virginia (WV)	$1,822	4
Arizona (AZ)	$1,901	1
Michigan (MI)	$1,920	120
South Carolina (SC)	$2,021	3
Missouri (MO)	$2,224	2
Idaho (ID)	$2,779	4
New Hampshire (NH)	$2,878	1
Texas (TX)	$3,867	61
Georgia (GA)	$4,046	13
New Mexico (NM)	$4,303	1
Rhode Island (RI)	$5,006	2
Alaska (AK)	$5,644	2
Virginia (VA)	$6,223	5
Oklahoma (OK)	$6,331	1
Louisiana (LA)	$10,775	2
Nevada (NV)	$17,824	10
Colorado (CO)	$19,005	3
California (CA)	$36,691	48

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 §180.