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:
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: 12053
HC LYR CLSR F/E/E/N/L/M&/MUC 5.1 CM-7.5 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
Connecticut
Hospital Address Code Price Last Updated
William W Backus Hospital 326 Washington St, Norwich 12054 $306 [source] 3 years ago
The Hospital Of Central Connecticut 100 Grand St, Emergency Department, New Britain 12054 $467 [source] 3 years ago
Danbury Hospital 24 Hospital Ave, Danbury 12054 $550 [source] 3 years ago
Hartford Hospital 80 Seymour St, Hartford 12054 $821 [source] 3 years ago
Lawrence And Memorial Hospital 365 Montauk Ave, New London 12054 $1,007 [source] 3 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown 12054 $1,026 [source] 3 years ago
Yale New Haven Hospital 20 York St, New Haven 12054 $1,076 [source] 3 years ago
Bridgeport Hospital 226 Mill Hill Ave, Bridgeport 12054 $1,076 [source] 3 years ago
Greenwich Hospital 55 Holly Hill Ln, Greenwich 12054 $1,076 [source] 3 years ago
St Vincent's Medical Center 2600 Park Ave, Unit 1M, Bridgeport 12054 $1,082 [source] 3 years ago
Norwalk Hospital 40 Prospect Ave, Norwalk 12054 $2,168 [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.