Based on public Medicaid payment data.
Wisconsin Cvs Pharmacy Llc
Medicaid Provider in Appleton, WI
Type
Organization
Address
4301 W Wisconsin Ave Ste 42
Appleton, WI 549136524
Phone
9202437877
NPI
1376899120
Procedures
1
Total Claims
38
Patients Served
26
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Vaccines & Immunizations | $16.94 | 38 | 26 |
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