Professional service for preparation and provision of whole body extract of biting insect or arthropod antigens
Medicare pricing data for 275 providers across 8 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Professional service for preparation and provision of whole body extract of biting insect or arthropod antigens (HCPCS code 95170) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.70, but hospitals typically charge $33.09 — a 3.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.70, your out-of-pocket cost would be approximately $2.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $7.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $11 | $29 | 55 | 1,631 | +4.5% |
| Texas | $11 | $26 | 26 | 851 | +4.4% |
| Arizona | $11 | $32 | 13 | 101 | +2.7% |
| Georgia | $11 | $53 | 29 | 1,006 | -0.4% |
| North Carolina | $11 | $30 | 61 | 2,031 | -0.6% |
| South Carolina | $10 | $38 | 30 | 1,403 | -3.4% |
| Alabama | $10 | $36 | 7 | 137 | -4.5% |
| Tennessee | $10 | $31 | 20 | 464 | -5.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber