CPT code 95148: Venom antigen preparation, four insect venoms2026 Medicare rate & RVUs in Napa, CA

Reports preparation and provision of a venom immunotherapy dose containing four distinct stinging-insect venoms under allergy specialist supervision.

CMS RVU26DEffective Oct 1, 2026One payment locality19.1K Medicare services in 2024

In Napa, CA, Medicare pays $116.76 for 95148 in the office and $2.74 when it’s performed in a hospital or facility.

$116.76Office (non-facility)
$2.74Hospital or facility
+30.9%vs the national office rate ($89.18)

Check a contract rate as a % of Medicare · 95148 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 95148 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Napa, CA
  2. What 95148 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 95148 covers

This service covers the allergy practice’s supervised preparation and provision of a venom immunotherapy dose containing four distinct stinging-insect venoms. It is used for patients receiving desensitization treatment for insect-sting allergy, commonly under an allergist’s direction in an allergy office. The venoms may come from different stinging insects, such as bees, yellow jackets, wasps, or hornets; the code selection follows the number of venoms in the dose, not the number of injections given at that visit.

Report one unit for each dose prepared and provided with four venoms. Documentation should identify the prescribed venom immunotherapy, the four venoms included, the dose or doses prepared, and the professional oversight. This code represents antigen preparation and provision, not administration of the injection. When the patient receives immunotherapy injections, report the applicable injection-administration service separately, such as 95115 for one injection or 95117 for two or more 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 Napa, CA compares for 95148

Across 109 of 109 payment localities, the office rate for 95148 runs from $76.77 in Arkansas to $127.63 in San Benito County, CA. Napa, CA pays $116.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

95148 in Napa, CA vs other payment areas
  1. Napa, CA · this page$116.76
  2. Bakersfield, CA · California$97.42−$19.34
  3. Chico, CA · California$97.40−$19.36
  4. El Centro, CA · California$97.40−$19.36
  5. Fresno, CA · California$97.40−$19.36
  6. Hanford, CA · California$97.40−$19.36
  7. Los Angeles, CA · California$105.04−$11.72

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

Every other payment area

95148 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$97.40$2.58
Merced, CACalifornia$97.40$2.58
Modesto, CACalifornia$97.40$2.58
Oxnard, CACalifornia$104.92$2.66
Redding, CACalifornia$97.40$2.58
Rest of CaliforniaCalifornia$97.40$2.58
Riverside, CACalifornia$97.50$2.69
Sacramento, CACalifornia$103.25$2.64

95148 rates by state

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

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.

$76.77

$112.52

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

View every state and territory as a table
95148 office rate range by state
State / territoryOffice rate rangeLocalities
AK$95.681
AL$78.181
AR$76.771
AZ$86.441
CA$97.40–$127.6329
CO$94.691
CT$95.981
DC$104.781
DE$88.111
FL$85.53–$93.253
GA$79.87–$90.642
GU$100.941
HI$100.941
IA$81.601
ID$82.061
IL$81.81–$91.804
IN$82.671
KS$80.681
KY$79.511
LA$79.18–$84.102
MA$93.75–$106.072
MD$90.22–$104.783
ME$82.11–$88.282
MI$81.67–$86.372
MN$91.461
MO$77.19–$85.013
MS$77.021
MT$89.181
NC$83.241
ND$88.981
NE$82.291
NH$92.701
NJ$97.28–$103.222
NM$82.041
NV$89.211
NY$84.74–$106.015
OH$81.631
OK$79.811
OR$88.73–$98.772
PA$82.04–$92.842
PR$90.131
RI$92.051
SC$82.531
SD$88.961
TN$81.121
TX$81.34–$94.188
UT$83.941
VA$87.61–$104.782
VI$90.131
VT$88.151
WA$93.73–$108.932
WI$85.301
WV$77.951
WY$89.091

See 95148 in every payment locality

How the 95148 rate is calculated

Each of 95148’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 · 95148

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.06

0.06 RVUs× 1.000 GPCI

Practice expense2.60

2.60 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

2.6700

Conversion factor

$33.4009

Medicare rate

$89.18

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

The exact Napa, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,485

Code
95148
Physician work
0.06
Practice expense
2.60
Malpractice
0.01

GPCI2026.csv

17

Locality
Napa, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.508
Office calculation for 95148 in Napa, CA
ComponentRVULocality factorAdjusted
Physician work0.06× 1.0630.0638
Practice expense2.60× 1.3183.4268
Malpractice0.01× 0.5080.0051
Total RVUs3.4957
Conversion factor× 33.4009

Office rate, Napa, CA$116.76

Office: (0.06 × 1.063 + 2.6 × 1.318 + 0.01 × 0.508) × $33.4009 = $116.76

Facility: (0.06 × 1.063 + 0.01 × 1.318 + 0.01 × 0.508) × $33.4009 = $2.74

Open 95148 in the RVU calculator

Payment rules and modifiers for 95148

95148 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 · 95148

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$89.18

Non-facility (office)
$89.18
Facility
$2.67

Higher because the practice carries its own overhead.

How 95148 has changed in Napa, CA

95148 · Office / nonfacility

$116.76

Effective 2026-10-01

The base rate is $0.55 higher than on 2025-10-01, moving from $116.21 to $116.76 (0.5%).

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

    $116.21changed to$116.76

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.69 changed to 2.60
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.521 changed to 0.508

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $125.69changed to$116.21

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.83 changed to 2.69

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $123.64changed to$125.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $110.77changed to$123.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.53 changed to 2.83
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.513 changed to 0.521
  5. January 1, 2023

    RVU23A

    $112.11changed to$110.77

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.60 changed to 2.53
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.513

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $112.62changed to$112.11

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.59 changed to 2.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $104.32changed to$112.62

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.28 changed to 2.59
    • Work GPCI 1.049 changed to 1.044
    • Practice expense GPCI 1.238 changed to 1.220
    • Malpractice GPCI 0.496 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $100.22changed to$104.32

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.16 changed to 2.28
    • Work GPCI 1.055 changed to 1.049
    • Practice expense GPCI 1.256 changed to 1.238
    • Malpractice GPCI 0.458 changed to 0.496

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $91.52changed to$100.22

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.97 changed to 2.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $88.20changed to$91.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.88 changed to 1.97
    • Work GPCI 1.057 changed to 1.055
    • Practice expense GPCI 1.271 changed to 1.256
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$88.20

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$116.76$2.74RVU26D
2026-07-01$116.76$2.74RVU26C
2026-04-01$116.76$2.74RVU26B
2026-01-01$116.76$2.74RVU26A
2025-10-01$116.21$3.49RVU25D
2025-07-01$116.21$3.49RVU25C
2025-04-01$116.21$3.49RVU25B
2025-01-01$116.21$3.49RVU25A
2024-10-01$125.69$3.16RVU24D
2024-07-01$125.69$3.16RVU24C
2024-04-01$125.69$3.16RVU24B
2024-03-09$125.69$3.16RVU24AR
2024-01-01$123.64$3.11RVU24A
2023-10-01$110.77$3.17RVU23D
2023-07-01$110.77$3.17RVU23C
2023-04-01$110.77$3.17RVU23B
2023-01-01$110.77$3.17RVU23A
2022-10-01$112.11$3.19RVU22D
2022-07-01$112.11$3.19RVU22C
2022-04-01$112.11$3.19RVU22B
2022-01-01$112.11$3.19RVU22A
2021-10-01$112.62$3.21RVU21D
2021-07-01$112.62$3.21RVU21C
2021-04-01$112.62$3.21RVU21B
2021-01-01$112.62$3.21RVU21A
2020-10-01$104.32$3.34RVU20D
2020-07-01$104.32$3.34RVU20C
2020-04-01$104.32$3.34RVU20B
2020-01-01$104.32$3.34RVU20A
2019-10-01$100.22$3.35RVU19D
2019-07-01$100.22$3.35RVU19C
2019-04-01$100.22$3.35RVU19B
2019-01-01$100.22$3.35RVU19A
2018-10-01$91.52$3.35RVU18D
2018-07-01$91.52$3.35RVU18C
2018-04-01$91.52$3.35RVU18B
2018-01-01$91.52$3.35RVU18AR1
2017-10-01$88.20$3.36RVU17D
2017-07-01$88.20$3.36RVU17C
2017-04-01$88.20$3.36RVU17B
2017-01-01$88.20$3.36RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 95148 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Napa
  • American Canyon
  • Angwin
  • Calistoga
  • Deer Park
  • Moskowite Corner
  • Oakville
  • Rutherford

Browse all communities in California

95148 billing questions

How is 95148 distinguished from 95147 or 95149?

Select 95148 when the prepared dose contains four distinct stinging-insect venoms. Use 95147 for three venoms or 95149 for five.

Does 95148 include administering the venom injections?

No. It represents supervised antigen preparation and provision. Report the applicable injection-administration code separately when injections are given.

How many units should be reported?

Report one unit for each dose prepared and provided that contains four venoms. The number of venoms determines the code; the number of injections does not.

What documentation supports 95148?

Document the venom immunotherapy prescription, the four venoms in the dose, the number of doses prepared and provided, and the professional oversight.

Should 95148 be used for a non-venom allergy treatment set?

No. This code is for venom immunotherapy with four stinging-insect venoms. Code 95165 is used for allergen treatment sets rather than this four-venom service.

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 95148PPRRVU2026_Oct_nonQPP.csv, line 12,485 (RVU26D)
Geographic factors for Napa, CAGPCI2026.csv, line 17 (RVU26D)

Open CMS sourceHow we calculate rates

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