# CPT 95146: Prepj& Antigen Allergen Immunotherapy 2 Insect

Medicare CPT 95146 pays $62.46 in a non-facility setting and $2.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $53.82 in Arkansas to $73.40 in California, a 36% spread.

Web page: https://www.med-reveal.com/rates/95146-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Allergy & Immunology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $62.46 |
| National facility | $2.67 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $73.40 | $2.65 |
| District of Columbia | $73.31 | $2.88 |
| Washington | $70.87 | $2.72 |
| Hawaii | $70.56 | $2.58 |
| New Jersey | $70.16 | $2.85 |
| Massachusetts | $69.89 | $2.72 |
| New York | $69.62 | $2.93 |
| Alaska | $67.22 | $3.55 |
| Connecticut | $67.20 | $2.81 |
| Colorado | $66.26 | $2.64 |
| Oregon | $65.60 | $2.62 |
| Maryland | $65.07 | $2.74 |
| New Hampshire | $64.88 | $2.64 |
| Rhode Island | $64.45 | $2.69 |
| Minnesota | $63.97 | $2.45 |
| Puerto Rico | $63.12 | $2.67 |
| Virgin Islands | $63.12 | $2.67 |
| Florida | $62.98 | $2.99 |
| Montana | $62.46 | $2.67 |
| Nevada | $62.46 | $2.62 |
| Wyoming | $62.37 | $2.59 |
| North Dakota | $62.26 | $2.47 |
| South Dakota | $62.24 | $2.45 |
| Delaware | $61.71 | $2.64 |
| Vermont | $61.69 | $2.50 |
| Texas | $61.52 | $2.65 |
| Virginia | $61.34 | $2.57 |
| Pennsylvania | $61.27 | $2.71 |
| Illinois | $60.74 | $2.97 |
| Arizona | $60.55 | $2.61 |
| Georgia | $59.76 | $2.73 |
| Wisconsin | $59.70 | $2.43 |
| Maine | $59.66 | $2.54 |
| Michigan | $58.93 | $2.79 |
| Utah | $58.82 | $2.62 |
| North Carolina | $58.31 | $2.53 |
| Indiana | $57.90 | $2.48 |
| South Carolina | $57.84 | $2.60 |
| Nebraska | $57.62 | $2.44 |
| New Mexico | $57.54 | $2.71 |
| Missouri | $57.50 | $2.64 |
| Idaho | $57.47 | $2.47 |
| Louisiana | $57.25 | $2.66 |
| Ohio | $57.23 | $2.65 |
| Iowa | $57.15 | $2.44 |
| Tennessee | $56.83 | $2.49 |
| Kansas | $56.52 | $2.47 |
| Oklahoma | $55.95 | $2.56 |
| Kentucky | $55.76 | $2.61 |
| Alabama | $54.80 | $2.49 |
| West Virginia | $54.73 | $2.77 |
| Mississippi | $54.02 | $2.54 |
| Arkansas | $53.82 | $2.46 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 95146 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules