Code: 12053

Description:
HC LYR CLSR F/E/E/N/L/M&/MUC 5.1 CM-7.5 CM
Other Descriptions:
WOUND LAYER FACE 5.1-7.5CM
INT LAC FACE-EARS 5.1-7.5CM
LCW INTER FACE 5.1CM-7.5CM
LAYERED REP FACE EARS EYE
LAYER REP FACE/EAR 5.1-7.
LAYER CLOSE FACIAL 5.1-7.5CM PHY
REPAIR INT C 5.1+AC0-7.5CM PF
Intmd rpr face/mm 5.1+AC0-7.5 cm
INTERMED LAC FACE 5.1+AC0-7.5
Related codes:
Code: 12051
PRO-LYR INTER FACE<2.5
Code: 12052
HC LYR CLSR F/E/E/N/L/M&/MUC 2.6 CM-5.0 CM
Code: 12054
HC LYR CLSR F/E/E/N/L/M&/MUC 7.6 CM-12.5 CM
Code: 12055
HC LYR CLSR F/E/E/N/L/M&/MUC 12.6 CM-20.0 CM
Code: 12056
HC LYR CLSR F/E/E/N/L/M&/MUC 20.1 CM-30.0 CM
Code: 12057
HC LYR CLSR F/E/E/N/L/M&/MUC > 30.0 CM
Wisconsin
Hospital Address Code Price Last Updated
Tomah Memorial Hospital 501 Gopher Dr, Tomah 12053 $133 [source] 3 years ago
Upland Hills Health 800 Compassion Way, Dodgeville 12053 $355 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 12053 $588 [source] 3 years ago
River Falls Area Hospital , River Falls 12053 $634 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 12053 $637 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 12053 $653 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 12053 $767 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 12053 $949 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 12053 $1,080 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 12053 $1,093 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 12053 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 12053 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 12053 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 12053 $1,265 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 12053 $1,310 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 12053 $1,310 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 12053 $1,310 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 12053 $1,336 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 12053 $1,336 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 12053 $1,336 [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.