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CPT code 95145: Venom antigen, one insect venom2026 Medicare rate & RVUs in Manhattan, NY

Reports supervision of preparing and providing one stinging-insect venom antigen for allergen immunotherapy, counted by the doses prepared and supplied.

CMS RVU26DEffective Oct 1, 2026One payment locality13.7K Medicare services in 2024

In Manhattan, NY, Medicare pays $39.53 for 95145 in the office and $3.05 when it’s performed in a hospital or facility.

$39.53Office (non-facility)
$3.05Hospital or facility
+16.0%vs the national office rate ($34.07)

Check a contract rate as a % of Medicare · 95145 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95145 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Manhattan, NY
  2. What 95145 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95145 covers

An allergist or allergy practice reports this service for supervising preparation and provision of a single stinging-insect venom antigen used in immunotherapy. A typical case is venom treatment for a patient with a systemic reaction to a specific insect sting, such as a honeybee or yellow jacket. This code represents the antigen service, not the injection itself.

Select the one-venom level based on the antigen supplied, and report units for the doses prepared and provided rather than the number of injections administered. Documentation should identify the venom antigen, the dose quantity prepared or supplied, and the immunotherapy plan. CMS values the service under the physician fee schedule using work, practice expense, and malpractice RVUs; its practice-expense allocation is much higher in the office setting than in a facility.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Manhattan, NY compares for 95145

Across 109 of 109 payment localities, the office rate for 95145 runs from $29.43 in Arkansas to $48.16 in San Benito County, CA. Manhattan, NY pays $39.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

95145 in Manhattan, NY vs other payment areas
  1. Manhattan, NY · this page$39.53
  2. NYC suburbs and Long Island, NY · New York$40.48+$0.95
  3. Poughkeepsie and northern NYC suburbs, NY · New York$37.24−$2.29
  4. Queens, NY · New York$40.12+$0.59
  5. Rest of New York · New York$32.38−$7.15
  6. Los Angeles, CA · California$39.85+$0.32
  7. Washington, DC area · District of Columbia$39.86+$0.33

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

95145 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$35.88$3.20
Chicago, ILIllinois$34.67$3.12
AlaskaAlaska$36.98$3.55
AlabamaAlabama$29.96$2.49
ArkansasArkansas$29.43$2.46
ArizonaArizona$33.04$2.61
Bakersfield, CACalifornia$37.02$2.61
Chico, CACalifornia$36.99$2.58

95145 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$29.43

$42.58

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95145 office rate range by state
State / territoryOffice rate rangeLocalities
AK$36.981
AL$29.961
AR$29.431
AZ$33.041
CA$36.99–$48.1629
CO$36.051
CT$36.621
DC$39.861
DE$33.661
FL$32.84–$35.883
GA$30.71–$34.652
GU$38.281
HI$38.281
IA$31.171
ID$31.351
IL$31.50–$35.204
IN$31.581
KS$30.861
KY$30.521
LA$30.41–$32.242
MA$35.71–$40.272
MD$34.44–$39.863
ME$31.40–$33.662
MI$31.35–$33.192
MN$34.751
MO$29.68–$32.553
MS$29.571
MT$34.071
NC$31.821
ND$33.871
NE$31.421
NH$35.331
NJ$37.10–$39.292
NM$31.501
NV$34.041
NY$32.38–$40.485
OH$31.311
OK$30.601
OR$33.84–$37.542
PA$31.45–$35.472
PR$34.411
RI$35.121
SC$31.611
SD$33.851
TN$31.031
TX$31.19–$35.888
UT$32.131
VA$33.43–$39.862
VI$34.411
VT$33.591
WA$35.70–$41.312
WI$32.511
WV$30.061
WY$33.981

See 95145 in every payment locality

How the 95145 rate is calculated

Each of 95145’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95145

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.06

0.06 RVUs× 1.000 GPCI

Practice expense0.95

0.95 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.0200

Conversion factor

$33.4009

Medicare rate

$34.07

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Manhattan, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,482

Code
95145
Physician work
0.06
Practice expense
0.95
Malpractice
0.01

GPCI2026.csv

78

Locality
Manhattan, NY
Physician work
1.064
Practice expense
1.162
Malpractice
1.586
Office calculation for 95145 in Manhattan, NY
ComponentRVULocality factorAdjusted
Physician work0.06× 1.0640.0638
Practice expense0.95× 1.1621.1039
Malpractice0.01× 1.5860.0159
Total RVUs1.1836
Conversion factor× 33.4009

Office rate, Manhattan, NY$39.53

Office: (0.06 × 1.064 + 0.95 × 1.162 + 0.01 × 1.586) × $33.4009 = $39.53

Facility: (0.06 × 1.064 + 0.01 × 1.162 + 0.01 × 1.586) × $33.4009 = $3.05

Open 95145 in the RVU calculator

Payment rules and modifiers for 95145

95145 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 95145

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$34.07

Non-facility (office)
$34.07
Facility
$2.67

Higher because the practice carries its own overhead.

Codes related to 95145

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95145
CodeHow it relatesOffice range, Manhattan, NY
Same family
95146Venom antigen preparation, two venom typesPreparation and provision for two single stinging-insect venoms rather than one.$72.52
95147Antigen preparation, three stinging insect venomsPreparation and provision for three single stinging-insect venoms.$69.81
95144Allergen preparation, single-dose vial setAntigen preparation and provision for single-dose vials outside the specified single-venom level.$24.40
Used instead
95165Allergy extract preparation, multidose vials, per doseUsed for single or multiple non-venom antigens counted per dose.$20.13
95130Venom immunotherapy, one insect venomReports professional venom immunotherapy service for one insect, rather than antigen preparation and provision by dose.No office rate
Often billed with
95115Allergy shot, single injection, extract not includedMay report a single immunotherapy injection separately when administered.$12.17

How 95145 has changed in Manhattan, NY

95145 · Office / nonfacility

$39.53

Effective 2026-10-01

The base rate is $0.03 lower than on 2025-10-01, moving from $39.56 to $39.53 (0.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $39.56changed to$39.53

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.98 changed to 0.95
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.166 changed to 1.162
    • Malpractice GPCI 1.656 changed to 1.586

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $42.27changed to$39.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.02 changed to 0.98

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $41.58changed to$42.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $39.69changed to$41.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.92 changed to 1.02
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.184 changed to 1.166
    • Malpractice GPCI 1.843 changed to 1.656

  5. January 1, 2023

    RVU23A

    $42.45changed to$39.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.95 changed to 0.92
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.203 changed to 1.184
    • Malpractice GPCI 2.031 changed to 1.843

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $41.96changed to$42.45

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.93 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $37.36changed to$41.96

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.80 changed to 0.93
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.192 changed to 1.203
    • Malpractice GPCI 1.823 changed to 2.031

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $34.33changed to$37.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.74 changed to 0.80
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.180 changed to 1.192
    • Malpractice GPCI 1.615 changed to 1.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $30.89changed to$34.33

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.66 changed to 0.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $29.84changed to$30.89

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.64 changed to 0.66
    • Practice expense GPCI 1.174 changed to 1.180
    • Malpractice GPCI 1.690 changed to 1.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $25.47changed to$29.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.54 changed to 0.64
    • Practice expense GPCI 1.168 changed to 1.174
    • Malpractice GPCI 1.764 changed to 1.690

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $25.99changed to$25.47

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.55 changed to 0.54

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $25.86changed to$25.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $25.35changed to$25.86

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.54 changed to 0.55
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.165 changed to 1.168
    • Malpractice GPCI 1.518 changed to 1.764

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $26.32changed to$25.35

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.60 changed to 0.54
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.162 changed to 1.165
    • Malpractice GPCI 1.271 changed to 1.518

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $26.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$39.53$3.05RVU26D
2026-07-01$39.53$3.05RVU26C
2026-04-01$39.53$3.05RVU26B
2026-01-01$39.53$3.05RVU26A
2025-10-01$39.56$3.73RVU25D
2025-07-01$39.56$3.73RVU25C
2025-04-01$39.56$3.73RVU25B
2025-01-01$39.56$3.73RVU25A
2024-10-01$42.27$3.45RVU24D
2024-07-01$42.27$3.45RVU24C
2024-04-01$42.27$3.45RVU24B
2024-03-09$42.27$3.45RVU24AR
2024-01-01$41.58$3.40RVU24A
2023-10-01$39.69$3.58RVU23D
2023-07-01$39.69$3.58RVU23C
2023-04-01$39.69$3.58RVU23B
2023-01-01$39.69$3.58RVU23A
2022-10-01$42.45$3.73RVU22D
2022-07-01$42.45$3.73RVU22C
2022-04-01$42.45$3.73RVU22B
2022-01-01$42.45$3.73RVU22A
2021-10-01$41.96$3.76RVU21D
2021-07-01$41.96$3.76RVU21C
2021-04-01$41.96$3.76RVU21B
2021-01-01$41.96$3.76RVU21A
2020-10-01$37.36$3.80RVU20D
2020-07-01$37.36$3.80RVU20C
2020-04-01$37.36$3.80RVU20B
2020-01-01$37.36$3.80RVU20A
2019-10-01$34.33$3.71RVU19D
2019-07-01$34.33$3.71RVU19C
2019-04-01$34.33$3.71RVU19B
2019-01-01$34.33$3.71RVU19A
2018-10-01$30.89$3.70RVU18D
2018-07-01$30.89$3.70RVU18C
2018-04-01$30.89$3.70RVU18B
2018-01-01$30.89$3.70RVU18AR1
2017-10-01$29.84$3.71RVU17D
2017-07-01$29.84$3.71RVU17C
2017-04-01$29.84$3.71RVU17B
2017-01-01$29.84$3.71RVU17A
2016-10-01$25.47$3.73RVU16D
2016-07-01$25.47$3.73RVU16C
2016-04-01$25.47$3.73RVU16B
2016-01-01$25.47$3.73RVU16A
2015-10-01$25.99$3.74RVU15D
2015-07-01$25.99$3.74RVU15C
2015-04-01$25.86$3.72RVU15B
2015-01-01$25.86$3.72RVU15A
2014-10-01$25.35$3.65RVU14D
2014-07-01$25.35$3.65RVU14C
2014-04-01$25.35$3.65RVU14B
2014-01-01$25.35$3.65RVU14A
2013-10-01$26.32$3.39RVU13D
2013-07-01$26.32$3.39RVU13C
2013-04-01$26.32$3.39RVU13B
2013-01-01$26.32$3.39RVU13AR

Price 95145 for an earlier date of service

Where the Manhattan, NY rate applies

Manhattan, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

95145 billing questions

When is 95145 used instead of 95146?

Use 95145 for one single stinging-insect venom antigen. Use 95146 when the preparation and provision covers two single venoms.

Are units based on injections or doses?

Units represent doses of antigen prepared and provided, not the number of injections administered. Keep the dose quantity supported by the preparation and supply record.

Does 95145 report the injection?

No. It reports supervision of antigen preparation and provision. Injection services are represented by separate immunotherapy service codes when applicable.

What documentation supports this code?

Record the specific venom antigen, the number of doses prepared or supplied, and the patient's immunotherapy plan. The record should support why the one-venom level was selected.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95145PPRRVU2026_Oct_nonQPP.csv, line 12,482 (RVU26D)
Geographic factors for Manhattan, NYGPCI2026.csv, line 78 (RVU26D)

Open CMS sourceHow we calculate rates

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