$61.71
Use 95146 when the prepared dose contains two venom types; 95147 represents three.
On this page
CMS RVU26D · Effective 2026-10-01
95147 Antigen preparation Medicare reimbursement rates in Delaware
Report 95147 for supervised preparation and provision of a treatment dose containing three stinging insect venoms for allergen immunotherapy. Compare 95147 office and facility rates across CMS payment localities in Delaware.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 95147 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$59.40
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$2.64
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Allergy immunotherapy
About 95147: Three-venom antigen preparation
Report 95147 for supervised preparation and provision of a treatment dose containing three stinging insect venoms for allergen immunotherapy.
95147 represents the allergy practice’s professional service for supervising preparation and provision of a treatment dose made with three distinct stinging insect venom extracts. It is used in venom immunotherapy, such as treatment for a patient whose prescribed regimen includes three venom types. An allergist or another qualified physician typically directs the service; trained practice staff may perform preparation under that supervision. The injection itself is a separate service from the antigen preparation and provision represented here.
Select this code by the number of venom types in the prepared dose, not by the number of injection sites or injections given. Keep records identifying the prescribed venoms, preparation and dose details, and the supervising professional. When an immunotherapy injection is administered, report the applicable injection service separately. CMS assigns this service substantially more office practice-expense value than physician-work value, with a much smaller facility practice-expense value.
Where the value comes from
- Work RVU0.06 · 3%
- Practice expense (office) RVU1.73 · 96%
- Malpractice RVU0.01 · 1%
8.1K
Medicare services in 2024 · #1588 by national volume
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.
95147 compared with similar codes
Office rates for Delaware, from the same CMS release.
$88.11
Use 95148 when the prepared dose contains four venom types; 95147 represents three.
95130
No office rateImmntx 1 sting insect
95130 describes office-based venom immunotherapy with extract provision and a single injection for one venom. 95147 covers preparation and provision for three venoms, not the injection.
$17.16
95165 is used for preparation of non-venom allergenic extracts. 95147 is specific to a dose containing three stinging insect venoms.
Compare 95147 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
$59.40
Facility
$2.64
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95147 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
12,484
- Code
- 95147
- Physician work
- 0.06
- Practice expense
- 1.73
- Malpractice
- 0.01
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.06 | × 1.005 | 0.0603 |
| Practice expense | 1.73 | × 0.988 | 1.7092 |
| Malpractice | 0.01 | × 0.899 | 0.0090 |
| Total RVUs | 1.7785 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$59.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.06 | 1.005 |
| Practice expense | 1.73 | 0.988 |
| Malpractice | 0.01 | 0.899 |
(0.06 × 1.005 + 1.73 × 0.988 + 0.01 × 0.899) × $33.4009 = $59.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.06 | 1.005 |
| Practice expense | 0.01 | 0.988 |
| Malpractice | 0.01 | 0.899 |
(0.06 × 1.005 + 0.01 × 0.988 + 0.01 × 0.899) × $33.4009 = $2.64
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
95147 billing questions
When should 95147 be selected instead of 95146 or 95148?
Select 95147 when the prepared treatment dose contains three distinct stinging insect venoms. The neighboring codes represent doses with two or four venom types.
Does 95147 include administering the injection?
No. It represents supervision of antigen preparation and provision; report the appropriate immunotherapy injection service separately when an injection is administered.
What documentation supports 95147?
Document the three venom types in the prescribed preparation, the dose prepared or provided, and the professional supervision of the service.
How should units reflect the service?
Keep units tied to the treatment doses prepared and provided, supported by the practice’s dose and preparation records. Do not count injection sites as antigen-preparation units.
Can 95147 be reported with an injection code?
Yes, when the practice also administers an immunotherapy injection, the preparation/provision service and injection service describe distinct work. Choose the injection code based on the number of injections.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,48195144,,Antigen therapy services,A,,0.06,0.56,,0.01,,0.01,0.63,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48295145,,Antigen therapy services,A,,0.06,0.95,,0.01,,0.01,1.02,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48395146,,Antigen therapy services,A,,0.06,1.80,,0.01,,0.01,1.87,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48495147,,Antigen therapy services,A,,0.06,1.73,,0.01,,0.01,1.80,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48595148,,Antigen therapy services,A,,0.06,2.60,,0.01,,0.01,2.67,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48695149,,Antigen therapy services,A,,0.06,3.48,,0.01,,0.01,3.55,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48795165,,Antigen therapy services,A,,0.06,0.45,,0.01,,0.01,0.52,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503