95131
No office rateImmntx 2 sting insects
95131 represents the injection service for immunotherapy involving two stinging-insect venoms. This code represents preparation and provision of the venom antigens.
On this page
CMS RVU26D · Effective 2026-10-01
95146 Venom antigen preparation Medicare reimbursement rates in Hawaii
Reports allergist-supervised preparation and provision of allergen immunotherapy antigens for treatment plans involving two distinct stinging-insect venoms. Compare 95146 office and facility rates across CMS payment localities in Hawaii.
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 95146 in Hawaii?
Hawaii 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
$70.56
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$2.58
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 services
About 95146: Preparation of two insect venom antigens
Reports allergist-supervised preparation and provision of allergen immunotherapy antigens for treatment plans involving two distinct stinging-insect venoms.
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. CMS facts supplied for this code list no additional payment rules.
Where the value comes from
- Work RVU0.06 · 3%
- Practice expense (office) RVU1.80 · 96%
- Malpractice RVU0.01 · 1%
4.6K
Medicare services in 2024 · #1940 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.
95146 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$38.28
Use 95145 when the antigen preparation and provision service involves one stinging-insect venom; this code covers two.
$67.90
Use 95147 when the antigen preparation and provision service involves three stinging-insect venoms; this code covers two.
$19.29
95165 applies to nonvenom allergen antigens. This code is specific to preparation and provision involving two stinging-insect venoms.
Compare 95146 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
Hawaii, Guam →
Office / nonfacility
$70.56
Facility
$2.58
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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 95146 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
12,483
- Code
- 95146
- Physician work
- 0.06
- Practice expense
- 1.80
- Malpractice
- 0.01
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.06 | × 1.000 | 0.0600 |
| Practice expense | 1.80 | × 1.137 | 2.0466 |
| Malpractice | 0.01 | × 0.579 | 0.0058 |
| Total RVUs | 2.1124 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$70.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.06 | 1 |
| Practice expense | 1.8 | 1.137 |
| Malpractice | 0.01 | 0.579 |
(0.06 × 1 + 1.8 × 1.137 + 0.01 × 0.579) × $33.4009 = $70.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.06 | 1 |
| Practice expense | 0.01 | 1.137 |
| Malpractice | 0.01 | 0.579 |
(0.06 × 1 + 0.01 × 1.137 + 0.01 × 0.579) × $33.4009 = $2.58
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.
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 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.
12,48095134,,Immntx 5 sting insects,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014