Alabama Medicaid rate for CPT 99204
Alabama Medicaid pays $251.30 for CPT 99204 in its September 2026 fee-for-service schedule: the 2nd-highest of 45 state Medicaid programs, at 187% of the $134.20 median.
- Non-facility rate
- $251.30
- Rank
- 2 of 45
- vs. state median
- 187%
- vs. AL Medicare
- 154%
What Alabama Medicaid publishes for 99204
2nd-highest of 45 · 187% of median
- Schedule
- September 2026
- Prior authorization
- Not required
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. Alabama Medicaid Fee Schedules
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Alabama |
|---|---|---|
| Georgia | $110.51 | -56% |
| Mississippi | $147.42 | -41% |
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Alabama is $163.57; Alabama Medicaid's rate is 154% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Alabama's full schedule: all 5,928 codes, every published period, and commercial payer rates for 99204.
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