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CPT code 95146: Venom antigen preparation, two venom types2026 Medicare rate & RVUs in Kansas

Reports allergist-supervised preparation and provision of allergen immunotherapy antigens for treatment plans involving two distinct stinging-insect venoms.

CMS RVU26DEffective Oct 1, 2026One payment locality4.6K Medicare services in 2024

In Kansas, Medicare pays $56.52 for 95146 in the office and $2.47 when it’s performed in a hospital or facility.

$56.52Office (non-facility)
$2.47Hospital or facility
−9.5%vs the national office rate ($62.46)

Check a contract rate as a % of Medicare · 95146 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 95146 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 95146 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 95146 covers

An allergist or allergy practice reports this service for the professional supervision involved in preparing and providing immunotherapy antigens for two distinct stinging-insect venoms. It concerns the venom extracts supplied for a patient’s desensitization regimen, not the injection visit itself. The service is typically part of outpatient allergy care, with the treating allergist determining the venom immunotherapy plan and the practice preparing or arranging the prescribed extracts.

Choose this code when the preparation and provision service covers two venom types; the count is based on venoms, not injection sites or the number of shots given. Documentation should identify the prescribed venom immunotherapy and support that two distinct venoms were prepared or provided. This code represents antigen preparation and provision, so it should not stand in for the separate service of administering venom injections.

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 Kansas compares for 95146

Across 109 of 109 payment localities, the office rate for 95146 runs from $53.82 in Arkansas to $89.10 in San Benito County, CA. Kansas pays $56.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

95146 in Kansas vs other payment areas
  1. Kansas · this page$56.52
  2. Los Angeles, CA · California$73.43+$16.91
  3. Washington, DC area · District of Columbia$73.31+$16.79
  4. Miami, FL · Florida$65.44+$8.92
  5. Chicago, IL · Illinois$63.21+$6.69
  6. Manhattan, NY · New York$72.52+$16.00
  7. Alaska · Alaska$67.22+$10.70

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

Every other payment area

95146 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$54.80$2.49
ArkansasArkansas$53.82$2.46
ArizonaArizona$60.55$2.61
Bakersfield, CACalifornia$68.14$2.61
Chico, CACalifornia$68.11$2.58
El Centro, CACalifornia$68.11$2.58
Fresno, CACalifornia$68.11$2.58
Hanford, CACalifornia$68.11$2.58

95146 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.

$53.82

$78.60

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

View every state and territory as a table
95146 office rate range by state
State / territoryOffice rate rangeLocalities
AK$67.221
AL$54.801
AR$53.821
AZ$60.551
CA$68.11–$89.1029
CO$66.261
CT$67.201
DC$73.311
DE$61.711
FL$59.98–$65.443
GA$56.03–$63.492
GU$70.561
HI$70.561
IA$57.151
ID$57.471
IL$57.42–$64.354
IN$57.901
KS$56.521
KY$55.761
LA$55.53–$58.962
MA$65.61–$74.172
MD$63.17–$73.313
ME$57.52–$61.802
MI$57.27–$60.582
MN$63.971
MO$54.15–$59.573
MS$54.021
MT$62.461
NC$58.311
ND$62.261
NE$57.621
NH$64.881
NJ$68.10–$72.232
NM$57.541
NV$62.461
NY$59.35–$74.245
OH$57.231
OK$55.951
OR$62.12–$69.082
PA$57.51–$65.032
PR$63.121
RI$64.451
SC$57.841
SD$62.241
TN$56.831
TX$57.03–$65.918
UT$58.821
VA$61.34–$73.312
VI$63.121
VT$61.691
WA$65.59–$76.152
WI$59.701
WV$54.731
WY$62.371

See 95146 in every payment locality

How the 95146 rate is calculated

Each of 95146’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 · 95146

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.06

0.06 RVUs× 1.000 GPCI

Practice expense1.80

1.80 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.8700

Conversion factor

$33.4009

Medicare rate

$62.46

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

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,483

Code
95146
Physician work
0.06
Practice expense
1.80
Malpractice
0.01

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 95146 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.06× 1.0000.0600
Practice expense1.80× 0.9041.6272
Malpractice0.01× 0.5040.0050
Total RVUs1.6922
Conversion factor× 33.4009

Office rate, Kansas$56.52

Office: (0.06 × 1 + 1.8 × 0.904 + 0.01 × 0.504) × $33.4009 = $56.52

Facility: (0.06 × 1 + 0.01 × 0.904 + 0.01 × 0.504) × $33.4009 = $2.47

Open 95146 in the RVU calculator

Payment rules and modifiers for 95146

95146 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 · 95146

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$62.46

Non-facility (office)
$62.46
Facility
$2.67

Higher because the practice carries its own overhead.

Codes related to 95146

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

Codes related to 95146
CodeHow it relatesOffice range, Kansas
Same family
95145Venom antigen, one insect venomPreparation and provision service for one stinging-insect venom.$30.86
95147Antigen preparation, three stinging insect venomsPreparation and provision service for three stinging-insect venoms.$54.41
95148Venom antigen preparation, four insect venomsPreparation and provision service for four stinging-insect venoms.$80.68
95149Venom antigen preparation, five or more venomsPreparation and provision service for five stinging-insect venoms.$107.25
Used instead
95165Allergy extract preparation, multidose vials, per dosePreparation and provision service for nonvenom allergen antigens.$15.76

How 95146 has changed in Kansas

95146 · Office / nonfacility

$56.52

Effective 2026-10-01

The base rate is $0.10 lower than on 2025-10-01, moving from $56.62 to $56.52 (0.2%).

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

    $56.62changed to$56.52

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.86 changed to 1.80
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $61.29changed to$56.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.96 changed to 1.86

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $60.29changed to$61.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $55.99changed to$60.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.75 changed to 1.96
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540

  5. January 1, 2023

    RVU23A

    $58.80changed to$55.99

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.80 changed to 1.75
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $58.33changed to$58.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.77 changed to 1.80

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $52.61changed to$58.33

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.53 changed to 1.77
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $49.33changed to$52.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.43 changed to 1.53
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $44.03changed to$49.33

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.27 changed to 1.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $42.42changed to$44.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.23 changed to 1.27
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $35.69changed to$42.42

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.03 changed to 1.23
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $35.82changed to$35.69

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $35.64changed to$35.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $35.29changed to$35.64

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.02 changed to 1.03
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $36.43changed to$35.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.12 changed to 1.02
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $36.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$56.52$2.47RVU26D
2026-07-01$56.52$2.47RVU26C
2026-04-01$56.52$2.47RVU26B
2026-01-01$56.52$2.47RVU26A
2025-10-01$56.62$2.99RVU25D
2025-07-01$56.62$2.99RVU25C
2025-04-01$56.62$2.99RVU25B
2025-01-01$56.62$2.99RVU25A
2024-10-01$61.29$2.78RVU24D
2024-07-01$61.29$2.78RVU24C
2024-04-01$61.29$2.78RVU24B
2024-03-09$61.29$2.78RVU24AR
2024-01-01$60.29$2.73RVU24A
2023-10-01$55.99$2.82RVU23D
2023-07-01$55.99$2.82RVU23C
2023-04-01$55.99$2.82RVU23B
2023-01-01$55.99$2.82RVU23A
2022-10-01$58.80$2.86RVU22D
2022-07-01$58.80$2.86RVU22C
2022-04-01$58.80$2.86RVU22B
2022-01-01$58.80$2.86RVU22A
2021-10-01$58.33$2.89RVU21D
2021-07-01$58.33$2.89RVU21C
2021-04-01$58.33$2.89RVU21B
2021-01-01$58.33$2.89RVU21A
2020-10-01$52.61$3.02RVU20D
2020-07-01$52.61$3.02RVU20C
2020-04-01$52.61$3.02RVU20B
2020-01-01$52.61$3.02RVU20A
2019-10-01$49.33$3.04RVU19D
2019-07-01$49.33$3.04RVU19C
2019-04-01$49.33$3.04RVU19B
2019-01-01$49.33$3.04RVU19A
2018-10-01$44.03$3.04RVU18D
2018-07-01$44.03$3.04RVU18C
2018-04-01$44.03$3.04RVU18B
2018-01-01$44.03$3.04RVU18AR1
2017-10-01$42.42$3.03RVU17D
2017-07-01$42.42$3.03RVU17C
2017-04-01$42.42$3.03RVU17B
2017-01-01$42.42$3.03RVU17A
2016-10-01$35.69$3.03RVU16D
2016-07-01$35.69$3.03RVU16C
2016-04-01$35.69$3.03RVU16B
2016-01-01$35.69$3.03RVU16A
2015-10-01$35.82$3.04RVU15D
2015-07-01$35.82$3.04RVU15C
2015-04-01$35.64$3.03RVU15B
2015-01-01$35.64$3.03RVU15A
2014-10-01$35.29$3.08RVU14D
2014-07-01$35.29$3.08RVU14C
2014-04-01$35.29$3.08RVU14B
2014-01-01$35.29$3.08RVU14A
2013-10-01$36.43$2.98RVU13D
2013-07-01$36.43$2.98RVU13C
2013-04-01$36.43$2.98RVU13B
2013-01-01$36.43$2.98RVU13AR

Price 95146 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

95146 billing questions

How is this code distinguished from 95145 or 95147?

This code is for antigen preparation and provision involving two stinging-insect venoms. Use 95145 for one venom and 95147 for three.

Does this code include the venom injection?

No. It represents supervision of venom antigen preparation and provision, not administration. When injections are given, the applicable injection service is selected separately.

How should the venom count be determined?

Count the distinct stinging-insect venoms represented in the prepared or provided immunotherapy antigens. The code covers two venom types, not two injections.

Is this the right code for nonvenom allergy extracts?

No. This code is for stinging-insect venom antigens. Code 95165 is used for preparation and provision of nonvenom allergen antigens.

What documentation supports reporting this service?

The record should support the prescribed venom immunotherapy and identify the two distinct venom antigens prepared or provided for the patient.

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 95146PPRRVU2026_Oct_nonQPP.csv, line 12,483 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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