Sewhfo cap design without jnt cf cost in Wisconsin

SEWHFO cap design w/o jnt CF ยท HCPCS L3975

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $919.12 โ€“ $1,893.67 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,409.38 โ€“ $1,879.17 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,409.38 โ€“ $3,626.80 4