Based on public Medicaid payment data.
Wisconsin Cvs Pharmacy Llc
Medicaid Provider in Green Bay, WI
Type
Organization
Address
2222 S Webster Ave
Green Bay, WI 543012100
Phone
9204308089
NPI
1265473136
Procedures
1
Total Claims
13
Patients Served
13
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 | $23.89 | 13 | 13 |
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