Based on public Medicaid payment data.
Wisconsin Cvs Pharmacy Llc
Medicaid Provider in Kenosha, WI
Type
Organization
Address
3726 22Nd Ave
Kenosha, WI 531405300
Phone
2626546545
NPI
1174564041
Procedures
1
Total Claims
172
Patients Served
126
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 | $21.67 | 172 | 126 |
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