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
Maine
Hospital Address Code Price Last Updated
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville 12054 $312 [source] 3 years ago
Sebasticook Valley Health 447 N Main St, Pittsfield 12054 $424 [source] 3 years ago
Mercy Hospital 144 State St, Portland 12054 $509 [source] 3 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle 12054 $699 [source] 3 years ago
Eastern Maine Healthcare Systems Inland Hospital 200 Kennedy Memorial Dr, Waterville 12054 $793 [source] 3 years ago
Eastern Maine Medical Center 489 State St, Bangor 12054 $913 [source] 3 years ago
Northern Light Maine Coast Hospital 50 Union St, Ellsworth 12054 $1,324 [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.