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Alabama WISEWOMAN Program FY26-FY27 Reimbursement Rate

Alabama WISEWOMAN Program FY26-FY27 Reimbursement Rate Effective 9/30/2026

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	$5.04
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

Preventive Medicine Counseling/Risk Reduction Services	CPT Code	Global Rate	Modifier –QW Rate
Risk Factor Reduction	99403	$50.01	N/A

Medical Follow-Up Office Visits

Medical Follow-Up Office Visits	CPT Code	Global Rate	Modifier –QW Rate
Established Patient: expanded history, exam, straightforward decision making, 20 minutes	99213	$95.19	N/A
Established Patient: 10 minutes	99212	$59.45	N/A

Medical Nutrition Therapy

Medical Nutrition Therapy	CPT Code	Global Rate	Modifier –QW Rate
Medical Nutrition Therapy, initial assessment, 15 min	97802-1	$36.09	N/A
Medical Nutrition Therapy, initial assessment, 30 min	97802-2	$72.18	N/A
Medical Nutrition Therapy, initial assessment, 45 min	97802-3	$108.27	N/A
Medical Nutrition Therapy: subsequent visit, 15 min	97803-1	$31.73	N/A
Medical Nutrition Therapy: subsequent visit, 30 min	97803-2	$63.46	N/A
Medical Nutrition Therapy: subsequent visit, 45 min	97803-3	$95.19	N/A
Group (2 or more), each 30 min	97804-1	$17.03	N/A
Group (2 or more), each 60 min	97804-2	$34.06	N/A
Group (2 or more), each 90 min	97804-3	$51.09	N/A

Medication Therapy Management

Medication Therapy Management	CPT Code	Global Rate	Modifier –QW Rate
Medication Therapy Management office visit, established patient only, medication discussion (physician, nurse practitioner, nurse)	99211	$24.38	N/A

Page last updated: November 3, 2026

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Cancer Division

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