Code: 13122

Description:
HC RPR CPLX S/A/L EA 5 CM/<
Other Descriptions:
LCW COMPLX S/A/L EA AD <5CM
COMPLEX RPR TNK EA 5CM
HC LCW COMPLX S/A/L EA AD <5CM
RPR COMPLEX SCALP EACH ADDL 5CM
RPR CMPLX SCLP ARM LEG
REP CMPLX SX/ARM/LG EA ADD 5 CM
CMPLX RPR S/A/L ADDL 5 CM/>
REPAIR COMP B EA ADDL 5CM
PCHG WND CPX SC XT EA ADD 5 CM PROFEE
Related codes:
Code: 13120
HC REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM
Code: 13121
HC RPR CPLX S/A/L 2.6 CM-7.5 CM
Indiana
Hospital Address Code Price Last Updated
Scott Memorial Health 1451 N. Gardner P.o. Box 430, Scottsburg 13122 $115 [source] 3 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis 13122 $1,319 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport 13122 $1,319 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem 13122 $1,319 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson 13122 $1,319 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis 13122 $1,319 [source] 3 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil 13122 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, 13122 $6,012 [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.