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Based on public Medicaid payment data.

Costco Wholesale Corporation

Medicaid Provider in Iwilei, HI

Type

Organization

Address

525 Ala Kawa Street

Iwilei, HI 96817

Phone

8085266102

NPI

1336259944

Procedures

1

Total Claims

14

Patients Served

14

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 $0.00 14 14

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