Code: 12016

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 12.6CM-20.0CM
Other Descriptions:
SIM LAC FACE-EAR 12.6-20CM
RSW SIMPLE FACE 12.6CM-20CM
Rpr fe/e/en/l/m 12.6-20.0 cm
SMP LAC.FCE/EAR 12.6-20CM
REPAIR SIM B 12.6+AC0-20.0CM PF
Rpr fe/e/en/l/m 12.6+AC0-20.0 cm
Srep F/e/n/l/mm; 12.6-20.0cm
Related codes:
Code: 12011
HC SMPL RPR SUPFC F/E/E/N/L/M 2.5CM/<
Code: 12013
HC SMPL RPR SUPFC F/E/E/N/L/M 2.6CM-5.0CM
Code: 12014
HC SMPL RPR SUPFC F/E/E/N/L/M 5.1CM-7.5CM
Code: 12015
HC SMPL RPR SUPFC F/E/E/N/L/M 7.6CM-12.5CM
Code: 12017
HC SMPL RPR SUPFC F/E/E/N/L/M 20.1CM-30.0 CM
Code: 12018
HC SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
State Average # Hospitals In Database
South Dakota (SD) $250 3
New Jersey (NJ) $277 2
Wyoming (WY) $361 2
Mississippi (MS) $378 6
Iowa (IA) $434 3
South Carolina (SC) $445 3
New York (NY) $445 4
Idaho (ID) $468 10
Nebraska (NE) $473 10
North Carolina (NC) $477 23
Missouri (MO) $488 1
District of Columbia (DC) $495 1
West Virginia (WV) $499 3
Texas (TX) $502 38
Maryland (MD) $550 1
Virginia (VA) $553 3
Maine (ME) $566 7
Kentucky (KY) $569 7
Connecticut (CT) $619 10
North Dakota (ND) $661 3
Oklahoma (OK) $664 4
Georgia (GA) $670 10
Florida (FL) $695 52
Vermont (VT) $701 3
Wisconsin (WI) $707 18
Hawaii (HI) $711 9
Minnesota (MN) $752 25
Alabama (AL) $754 11
Ohio (OH) $762 8
Washington (WA) $932 5
Tennessee (TN) $1,013 8
Rhode Island (RI) $1,061 4
Utah (UT) $1,261 1
New Hampshire (NH) $1,305 1
Kansas (KS) $1,430 7
Pennsylvania (PA) $1,613 3
Indiana (IN) $1,736 16
Arizona (AZ) $1,840 1
Oregon (OR) $2,057 3
Nevada (NV) $2,115 13
California (CA) $2,476 72
Michigan (MI) $2,690 136
Massachusetts (MA) $2,958 17

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.