Based on public Medicaid payment data.
Wisconsin Cvs Pharmacy Llc
Medicaid Provider in Onalaska, WI
Type
Organization
Address
9400 State Road 16
Onalaska, WI 546508540
Phone
6087795780
NPI
1841212446
Procedures
1
Total Claims
12
Patients Served
12
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 | $28.97 | 12 | 12 |
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