Based on public Medicaid payment data.
Wisconsin Cvs Pharmacy Llc
Medicaid Provider in Hudson, WI
Type
Organization
Address
2401 Coulee Rd
Hudson, WI 540162183
Phone
7153813603
NPI
1194747899
Procedures
1
Total Claims
30
Patients Served
30
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 | $28.02 | 30 | 30 |
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