CPT 95149

Prepj& Antigen Allergen Immunotherapy 5 Insect

CPT 95149 pays $118.57 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 $102.02 in Arkansas to $139.80 in California, a 37% spread.

National non-facility rate

$118.57

Office and other outpatient settings

Facility rate
$2.67

Hospital and ASC settings

Highest state
$139.80

California

Lowest state
$102.02

Arkansas · 37% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $118.57
CPT 95149 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $118.57, national facility $2.67.
StateRate compared visuallyNon-facilityFacility
California
$139.80$2.65
District of Columbia
$139.41$2.88
Washington
$134.84$2.71
Hawaii
$134.36$2.58
New Jersey
$133.35$2.84
Massachusetts
$132.93$2.72
New York
$132.23$2.93
Connecticut
$127.63$2.81
Alaska
$126.98$3.55
Colorado
$125.96$2.64
Oregon
$124.72$2.61
Maryland
$123.57$2.74
New Hampshire
$123.30$2.64
Rhode Island
$122.41$2.69
Minnesota
$121.71$2.45
Puerto Rico
$119.85$2.67
Virgin Islands
$119.85$2.67
Florida
$119.28$2.99
Nevada
$118.63$2.62
Montana
$118.57$2.67
Wyoming
$118.49$2.59
North Dakota
$118.37$2.47
South Dakota
$118.35$2.45
Vermont
$117.25$2.50
Delaware
$117.15$2.64
Texas
$116.76$2.65
Virginia
$116.50$2.57
Pennsylvania
$116.23$2.71
Illinois
$114.96$2.97
Arizona
$114.92$2.61
Wisconsin
$113.46$2.43
Georgia
$113.30$2.73
Maine
$113.28$2.53
Michigan
$111.62$2.79
Utah
$111.57$2.62
North Carolina
$110.66$2.53
Indiana
$109.92$2.48
South Carolina
$109.69$2.60
Nebraska
$109.42$2.44
Idaho
$109.10$2.47
Missouri
$109.00$2.64
New Mexico
$108.99$2.71
Iowa
$108.49$2.44
Louisiana
$108.48$2.66
Ohio
$108.46$2.65
Tennessee
$107.84$2.49
Kansas
$107.25$2.47
Oklahoma
$106.06$2.56
Kentucky
$105.64$2.61
Alabama
$103.90$2.49
West Virginia
$103.49$2.77
Mississippi
$102.33$2.54
Arkansas
$102.02$2.46

Billed by 1 specialties

Commercial rates for 95149

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates