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
Maine
Hospital Address Code Price Last Updated
Sebasticook Valley Health 447 N Main St, Pittsfield 13122 $184 [source] 3 years ago
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville 13122 $243 [source] 3 years ago
Mercy Hospital 144 State St, Portland 13122 $305 [source] 3 years ago
Northern Light Maine Coast Hospital 50 Union St, Ellsworth 13122 $321 [source] 3 years ago
Eastern Maine Medical Center 489 State St, Bangor 13122 $333 [source] 3 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle 13122 $356 [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.