Breast and Cervical Cancer Early Detection
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Alabama WISEWOMAN Program FY25-FY26 Reimbursement Rate
Alabama WISEWOMAN Program FY25-FY26 Reimbursement Rate Effective 2/1/2026
| Laboratory Test | CPT Code | Global Rate | Modifier –QW Rate |
|---|---|---|---|
| Routine Venipuncture | 36415 | $9.34 | N/A |
| Lipid Panel | 80061 | $13.39 | $13.39 |
| Total Cholesterol | 82465 | $4.35 | $4.35 |
| HDL Cholesterol | 83718 | $8.19 | $8.19 |
| Glucose, Quantitative | 82947 | $3.93 | $3.93 |
| Glucose, Blood, Reagent Strip | 82948 | $5.04 | N/A |
| Glucose Tolerance Test | 82951 | $12.87 | $12.87 |
| Hemoglobin, Glycated (A1C) | 83036 | $9.71 | $9.71 |
| Basic Metabolic Profile | 80048 | $8.46 | $8.46 |
Preventive Medicine Counseling/ Risk Reduction Services
| Laboratory Test | CPT Code | Global Rate | Modifier –QW Rate |
|---|---|---|---|
| Risk Factor Reduction | 99403 | $50.01 | N/A |
Medical Follow-Up Office Visits
| Laboratory Test | CPT Code | Global Rate | Modifier –QW Rate |
|---|---|---|---|
| Established Patient: expanded history, exam, straightforward decision making, 15 minutes | 99213 | $87.79 | |
| Established Patient: 10 minutes | 99212 | $54.33 |
Medical Nutrition Therapy
| Laboratory Test | CPT Code | Global Rate | Modifier –QW Rate |
|---|---|---|---|
| Medical Nutrition Therapy, initial assessment, 15 min | 802-1 | $34.26 | |
| Medical Nutrition Therapy, initial assessment, 30 min | 802-2 | $68.52 | |
| Medical Nutrition Therapy, initial assessment, 45 min | 802-3 | $102.78 | |
| Group (2 or more), each 30 min | 804-1 | $15.85 | |
| Group (2 or more), each 60 min | 804-2 | $31.70 | |
| Group (2 or more), each 90 min | 804-3 | $47.55 |
Page last updated: October 15, 2026
