CPT code 95149: Venom antigen preparation, five or more venoms2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $118.35 for 95149 in the office and $2.45 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 95149 nationwide

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

What 95149 covers

This service covers the supervision of preparing and supplying venom antigens for allergen immunotherapy when the treatment includes five or more distinct stinging-insect venoms. An allergist or other qualified clinician typically arranges this work in an allergy practice; the prepared extracts may include venoms such as honeybee, yellow jacket, or hornet. The service concerns the antigen preparation and provision, not the injection given to the patient.

Choose this level based on the number of distinct venom types prepared for the patient, rather than the number of injections or visits. The record should support the venom types and the preparation and provision performed. CMS assigns physician fee schedule relative values for work, practice expense, and malpractice; the practice-expense value differs between office and facility settings. Report a separate, appropriate immunotherapy administration service when an injection is also given, supported by the service documentation.

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 South Dakota compares for 95149

Across 109 of 109 payment localities, the office rate for 95149 runs from $102.02 in Arkansas to $170.01 in San Benito County, CA. South Dakota pays $118.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95149 rates by state

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

See 95149 in every payment locality

How the 95149 rate is calculated

Each of 95149’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.

Payment rules and modifiers for 95149

95149 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.

Codes related to 95149

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

How 95149 has changed in South Dakota

Price 95149 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates