# CPT 95165: Professional services for allergen immunotherapy, multi-dose vial

Medicare CPT 95165 pays $17.37 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 $15.09 in Arkansas to $20.19 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/95165-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $17.37 |
| National facility | $2.67 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $20.19 | $2.88 |
| California | $20.04 | $2.65 |
| Washington | $19.47 | $2.72 |
| New Jersey | $19.39 | $2.85 |
| New York | $19.32 | $2.93 |
| Hawaii | $19.29 | $2.58 |
| Massachusetts | $19.23 | $2.72 |
| Alaska | $19.20 | $3.55 |
| Connecticut | $18.64 | $2.81 |
| Colorado | $18.28 | $2.64 |
| Oregon | $18.10 | $2.62 |
| Maryland | $18.06 | $2.74 |
| New Hampshire | $17.94 | $2.64 |
| Rhode Island | $17.87 | $2.69 |
| Florida | $17.74 | $2.99 |
| Minnesota | $17.57 | $2.45 |
| Puerto Rico | $17.53 | $2.67 |
| Virgin Islands | $17.53 | $2.67 |
| Montana | $17.37 | $2.67 |
| Nevada | $17.33 | $2.62 |
| Wyoming | $17.28 | $2.59 |
| Illinois | $17.17 | $2.97 |
| North Dakota | $17.17 | $2.47 |
| Delaware | $17.16 | $2.64 |
| South Dakota | $17.15 | $2.45 |
| Texas | $17.12 | $2.65 |
| Pennsylvania | $17.11 | $2.71 |
| Vermont | $17.05 | $2.50 |
| Virginia | $17.01 | $2.57 |
| Arizona | $16.85 | $2.61 |
| Georgia | $16.75 | $2.73 |
| Michigan | $16.59 | $2.79 |
| Maine | $16.58 | $2.54 |
| Wisconsin | $16.51 | $2.43 |
| Utah | $16.43 | $2.62 |
| North Carolina | $16.24 | $2.53 |
| New Mexico | $16.19 | $2.71 |
| South Carolina | $16.18 | $2.60 |
| Missouri | $16.13 | $2.64 |
| Indiana | $16.10 | $2.48 |
| Louisiana | $16.08 | $2.66 |
| Ohio | $16.06 | $2.65 |
| Nebraska | $16.00 | $2.44 |
| Idaho | $15.99 | $2.47 |
| Iowa | $15.89 | $2.44 |
| Tennessee | $15.85 | $2.49 |
| Kansas | $15.76 | $2.47 |
| Oklahoma | $15.69 | $2.56 |
| Kentucky | $15.67 | $2.61 |
| West Virginia | $15.54 | $2.77 |
| Alabama | $15.34 | $2.49 |
| Mississippi | $15.19 | $2.54 |
| Arkansas | $15.09 | $2.46 |

## Related codes

- 95004: Percutaneous allergy skin tests, immediate type, specific antigens — https://www.med-reveal.com/rates/95004-cpt-fee-schedule
- 95012: Nitric oxide expired gas determination — https://www.med-reveal.com/rates/95012-cpt-fee-schedule
- 95017: Allergy skin testing, percutaneous, venom — https://www.med-reveal.com/rates/95017-cpt-fee-schedule
- 95018: Allergy skin testing, percutaneous, drug or biologic — https://www.med-reveal.com/rates/95018-cpt-fee-schedule
- 95024: Intracutaneous allergy skin tests, immediate type — https://www.med-reveal.com/rates/95024-cpt-fee-schedule
- 95027: Intracutaneous skin tests, allergen extracts, delayed type — https://www.med-reveal.com/rates/95027-cpt-fee-schedule
- 95028: Intracutaneous skin tests, delayed type reaction, allergen extracts — https://www.med-reveal.com/rates/95028-cpt-fee-schedule
- 95044: Patch or application test(s) — https://www.med-reveal.com/rates/95044-cpt-fee-schedule

Commercial negotiated rates for 95165 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