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

Kentucky

Hospital	Address	Code	Price	Last Updated
Spring View Hospital	320 Loretto Road, Lebanon	12054	$286 [source]	3 years ago
Meadowview Regional Medical Center	989 Medical Park Drive, Maysville	12054	$286 [source]	3 years ago
Jackson Purchase Medical Center	1099 Medical Center Circle, Mayfield	12054	$288 [source]	3 years ago
Georgetown Community Hospital	1140 Lexington Rd, Georgetown	12054	$895 [source]	3 years ago
Manchester Memorial Hospital	210 Marie Langdon Dr, Manchester	12054	$1,145 [source]	3 years ago
Lake Cumberland Regional Hospital	305 Langdon Street, Somerset	12054	$1,846 [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 §180.