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
Wyoming
Hospital Address Code Price Last Updated
Sagewest - Riverton 2100 West Sunset Drive, Riverton 13122 $202 [source] 3 years ago
Sagewest - Lander 1320 Bishop Randall Drive, Scottsdale 13122 $202 [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.