Code: 12054

Description:

HC LYR CLSR F/E/E/N/L/M&/MUC 7.6 CM-12.5 CM

Other Descriptions:

LCW INTER FACE 7.6CM-12.5CM

INT REP 7.6-12.5

HC LCW INTER FACE 7.6CM-12.5CM

INTERM.RPR FACE 7.6-12.5C

LAYER CLOSURE FACIAL 7.6-12.5CM PHY

REPAIR INT C 7.6+AC0-12.5CM PF

Intmd rpr face/mm 7.6+AC0-12.5cm

Repair Fac/ear 7.6-12.5cm

Repair Lay Fac/ear 7.6-12.5cm

Related codes:

PRO-LYR INTER FACE<2.5

HC LYR CLSR F/E/E/N/L/M&/MUC 2.6 CM-5.0 CM

HC LYR CLSR F/E/E/N/L/M&/MUC 5.1 CM-7.5 CM

HC LYR CLSR F/E/E/N/L/M&/MUC 12.6 CM-20.0 CM

HC LYR CLSR F/E/E/N/L/M&/MUC 20.1 CM-30.0 CM

HC LYR CLSR F/E/E/N/L/M&/MUC > 30.0 CM

State	Average	# Hospitals In Database
Arkansas (AR)	$50	1
District of Columbia (DC)	$292	2
New Mexico (NM)	$318	2
New York (NY)	$330	3
New Jersey (NJ)	$349	2
Mississippi (MS)	$366	5
West Virginia (WV)	$371	3
Wyoming (WY)	$378	2
Rhode Island (RI)	$477	4
North Carolina (NC)	$499	23
Texas (TX)	$531	39
Idaho (ID)	$599	11
Delaware (DE)	$686	1
Oklahoma (OK)	$688	4
South Dakota (SD)	$689	3
North Dakota (ND)	$692	3
Maine (ME)	$711	7
Ohio (OH)	$718	10
Virginia (VA)	$747	3
Alabama (AL)	$764	9
Vermont (VT)	$792	3
Kentucky (KY)	$841	7
South Carolina (SC)	$846	3
Utah (UT)	$860	3
Minnesota (MN)	$889	27
Iowa (IA)	$892	3
Nebraska (NE)	$905	10
Tennessee (TN)	$933	9
Maryland (MD)	$946	1
Connecticut (CT)	$969	11
Florida (FL)	$1,021	53
Washington (WA)	$1,034	5
Georgia (GA)	$1,058	10
Wisconsin (WI)	$1,067	21
Massachusetts (MA)	$1,118	14
Kansas (KS)	$1,534	8
New Hampshire (NH)	$1,538	2
Pennsylvania (PA)	$1,727	3
Indiana (IN)	$1,741	16
Nevada (NV)	$1,927	12
California (CA)	$2,213	73
Oregon (OR)	$2,922	3
Hawaii (HI)	$3,852	8
Michigan (MI)	$3,914	141
Arizona (AZ)	$7,052	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 §180.