Code: 12017

Description:
HC SMPL RPR SUPFC F/E/E/N/L/M 20.1CM-30.0 CM
Other Descriptions:
RSW SIMPLE FACE 20.1CM-30CM
SIM LAC FACE-EAR 20.1-30CM
Rpr fe/e/en/l/m 20.1-30.0 cm
SMP LAC.FCE/EAR 20.1-30CM
REPAIR SIM B 20.1+AC0-30.0CM PF
Rpr fe/e/en/l/m 20.1+AC0-30.0 cm
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: 12016
HC SMPL RPR SUPFC F/E/E/N/L/M 12.6CM-20.0CM
Code: 12018
HC SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
State Average # Hospitals In Database
New York (NY) $270 3
New Jersey (NJ) $301 1
Mississippi (MS) $373 6
Maryland (MD) $402 1
Maine (ME) $406 4
Texas (TX) $452 36
North Carolina (NC) $452 20
District of Columbia (DC) $495 1
Kentucky (KY) $509 2
Georgia (GA) $562 9
Iowa (IA) $563 3
Florida (FL) $594 51
West Virginia (WV) $609 2
Idaho (ID) $614 6
Nebraska (NE) $625 10
Virginia (VA) $710 1
Alabama (AL) $724 6
Oklahoma (OK) $731 4
California (CA) $754 68
North Dakota (ND) $756 2
Oregon (OR) $759 3
Hawaii (HI) $770 10
South Carolina (SC) $776 3
Connecticut (CT) $780 6
Wisconsin (WI) $812 13
South Dakota (SD) $883 3
Vermont (VT) $986 3
Rhode Island (RI) $998 4
Minnesota (MN) $1,002 15
Tennessee (TN) $1,116 7
Massachusetts (MA) $1,176 14
Michigan (MI) $1,430 131
New Hampshire (NH) $1,568 1
Washington (WA) $1,575 5
Pennsylvania (PA) $1,603 2
Indiana (IN) $1,744 16
Kansas (KS) $1,781 5
Nevada (NV) $3,066 11
Arizona (AZ) $5,435 1
Utah (UT) $5,720 2

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.