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See a sample rate comparisonCPT 95146 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Antigen Therapy Services, Professional Services For The Supervision Of Preparation And Provision Of Antigens For Allergen Immunotherapy (Specify Number Of Doses); Two Single Stinging Insect Venoms
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Allergy and Clinical Immunology Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service SA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 95146 |
| Medicaid Fee Schedule | View Medicaid rates for 95146 |
National average reimbursement for CPT 95146 by major payers:
$62.99
$55.72
$63.18
$183.85
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CPT 95146
5 of 25 sample ratesHigher to lower in this preview
Clint Anthony
$236.77Published ratePeter Heydemann
Rush University Medical Center
$96.80Published rateDara Pumphrey-Ruiz
Edward Health Ventures
$73.84Published ratePamela Vergara-Rodriguez
Veterans Assistance Commission C
$42.04Published rateAniruddha Deka
$3.07Published rate
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See a sample payer proposalCPT 95146 vs. Other Allergy and Clinical Immunology Procedures Codes
The CPT 95146 code is part of the Medicine Services and Procedures services used for Allergy and Clinical Immunology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95146 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95145-CPT | Low | Antigen Therapy Services, Professional Services For The Supervision Of Preparation And Provision Of Antigens For Allergen Immunotherapy (Specify Number Of Doses); Single Stinging Insect Venom |
| 95146-CPT | Low | Antigen Therapy Services, Professional Services For The Supervision Of Preparation And Provision Of Antigens For Allergen Immunotherapy (Specify Number Of Doses); Two Single Stinging Insect Venoms |
| 95147-CPT | Low | Antigen Therapy Services, Professional Services For The Supervision Of Preparation And Provision Of Antigens For Allergen Immunotherapy (Specify Number Of Doses); Three Single Stinging Insect Venoms |
| 95148-CPT | Low | Antigen Therapy Services, Professional Services For The Supervision Of Preparation And Provision Of Antigens For Allergen Immunotherapy (Specify Number Of Doses); Four Single Stinging Insect Venoms |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95146 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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