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
Utah
Hospital Address Code Price Last Updated
Garfield Memorial Clinic 200 N 400 E, Panguitch 12054 $673 [source] 3 years ago
Moab Regional Hospital 450 Williams Way, Moab 12054 $824 [source] 3 years ago
Castleview Hospital 300 North Hospital Drive, Price 12054 $1,083 [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.