CPT code 95148: Venom antigen preparation2026 Medicare rate & RVUs

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

CMS RVU26DEffective Oct 1, 2026109 payment localities19.1K Medicare services in 2024

Medicare pays $89.18 for 95148 nationally in the office and $2.67 in a hospital or facility. Local office rates run $76.77–$127.63.

Medicare rate · 95148

Venom antigen preparation

Office or facility?

Work RVUs
0.06
Total RVUs
2.67
Global days
XXX

National rate · 2026

$89.18

Office setting, before claim adjustments.

See every locality for 95148 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 95148 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. 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. CMS lists no payment rules for this code in the supplied facts.

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.

Where 95148 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$76.77 to $127.63

$76.77$102.20$127.63
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

95148 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$78.18$2.49
Alaska$95.68$3.55
Arizona$86.44$2.61
Arkansas$76.77$2.46
Atlanta, GA$90.64$2.75
Austin, TX$94.18$2.66
Bakersfield, CA$97.42$2.61
Baltimore area, MD$95.63$2.81
Beaumont, TX$81.34$2.62
Brazoria, TX$88.34$2.61

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

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.

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.

95148 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 95148

    Venom antigen preparation0.06 wRVU

    $89.18

  • 95147

    Antigen preparation0.06 wRVU

    $60.12−$29.06

  • 95149

    Venom antigen preparation0.06 wRVU

    $118.57+$29.39

  • 95165

    Allergy extract preparation0.06 wRVU

    $17.37−$71.81

  • 95117

    Allergy shots0 wRVU

    $12.36−$76.82

How to choose

95147Antigen preparation
95147 is for a dose containing three stinging-insect venoms; 95148 is for four.
95149Venom antigen preparation
95149 is for a dose containing five stinging-insect venoms; 95148 is for four.
95165Allergy extract preparation
95165 applies to allergen treatment sets, not a dose selected by the number of stinging-insect venoms.
95117Allergy shots
95117 reports administration of two or more immunotherapy injections. 95148 reports supervised preparation and provision of a four-venom dose.

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)

Open CMS sourceHow we calculate rates

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