{"procedure":{"code_type":"CPT","code":"81200","lay_name":"ASPA gene test for common variants","blurb":"Laboratory test that checks the ASPA gene for the small set of most frequently seen disease-causing changes, used in evaluating Canavan disease and carrier status.","slug":"cpt-81200-aspa-gene-test-for-common-variants","description":"ASPA GENE","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"234","label":"Pathology","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2024-10-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:09:30.311445Z","n_priced_setters":3956,"n_filed":668,"n_usable":603,"n_not_usable":17,"n_labelled":34,"n_no_cash":14,"n_estimated":0,"n_states":44,"cash_p10":44.78,"cash_p20":51.98,"cash_p25":60.48,"cash_p50":133.84,"cash_p75":275.8,"cash_p80":323.7,"cash_p90":577.0,"cash_mean_trimmed":148.48,"gross_p50":242.0,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":5,"p20":null,"p50":null,"p80":null},{"state":"CA","n":47,"p20":85.58,"p50":133.84,"p80":555.36},{"state":"CO","n":6,"p20":null,"p50":null,"p80":null},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":15,"p20":47.25,"p50":80.0,"p80":155.0},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":127.86,"p50":127.86,"p80":127.86},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":27,"p20":76.3,"p50":125.12,"p80":140.0},{"state":"IN","n":26,"p20":32.25,"p50":68.7,"p80":97.72},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":13,"p20":53.1,"p50":1929.77,"p80":1929.77},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":22,"p20":118.25,"p50":175.0,"p80":498.0},{"state":"MD","n":13,"p20":125.25,"p50":275.74,"p80":376.05},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":19,"p20":30.62,"p50":36.4,"p80":65.21},{"state":"MN","n":17,"p20":47.32,"p50":90.74,"p80":173.49},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":20,"p20":26.6,"p50":500.4,"p80":649.0},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":38,"p20":47.25,"p50":51.98,"p80":1641.6},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":29,"p20":47.25,"p50":56.7,"p80":297.0},{"state":"OH","n":41,"p20":211.9,"p50":295.1,"p80":336.7},{"state":"OK","n":2,"p20":null,"p50":null,"p80":null},{"state":"OR","n":3,"p20":null,"p50":null,"p80":null},{"state":"PA","n":46,"p20":47.0,"p50":118.4,"p80":1108.2},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":12,"p20":323.7,"p50":323.7,"p80":323.7},{"state":"TN","n":12,"p20":120.64,"p50":154.38,"p80":157.8},{"state":"TX","n":48,"p20":83.0,"p50":121.8,"p80":310.48},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":19,"p20":142.5,"p50":149.0,"p80":425.0},{"state":"WA","n":19,"p20":73.2,"p50":75.6,"p80":110.52},{"state":"WI","n":17,"p20":135.85,"p50":160.0,"p80":163.9},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":529,"p20":51.98,"p50":133.84,"p80":323.7},{"key":"childrens","n":14,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":55,"p20":72.06,"p50":133.0,"p80":279.2}],"ownership":[{"key":"for_profit","n":39,"p20":48.0,"p50":120.64,"p80":578.0},{"key":"government","n":63,"p20":47.25,"p50":100.8,"p80":247.92},{"key":"nonprofit","n":496,"p20":53.1,"p50":133.84,"p80":323.7}],"affiliation":[{"key":"affiliated","n":545,"p20":51.98,"p50":133.84,"p80":336.7},{"key":"independent","n":58,"p20":47.25,"p50":104.68,"p80":269.0}]},"histogram":[{"lo":30.62,"hi":44.03,"n":34},{"lo":44.03,"hi":63.3,"n":98},{"lo":63.3,"hi":91.01,"n":59},{"lo":91.01,"hi":130.85,"n":72},{"lo":130.85,"hi":188.14,"n":94},{"lo":188.14,"hi":270.51,"n":67},{"lo":270.51,"hi":388.93,"n":52},{"lo":388.93,"hi":559.2,"n":39},{"lo":559.2,"hi":804.01,"n":19},{"lo":804.01,"hi":1156.0,"n":14}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2024-10-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:09:30.311445Z","n_priced_setters":3956,"n_filed":465,"n_usable":417,"n_not_usable":17,"n_labelled":20,"n_no_cash":11,"n_estimated":0,"n_states":35,"cash_p10":36.4,"cash_p20":71.91,"cash_p25":91.6,"cash_p50":147.28,"cash_p75":295.1,"cash_p80":323.7,"cash_p90":555.36,"cash_mean_trimmed":174.75,"gross_p50":280.0,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":42,"p20":133.84,"p50":133.84,"p80":555.36},{"state":"CO","n":5,"p20":null,"p50":null,"p80":null},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":127.86,"p50":127.86,"p80":127.86},{"state":"IL","n":16,"p20":127.86,"p50":140.0,"p80":155.0},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":22,"p20":118.25,"p50":175.0,"p80":498.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":14,"p20":30.62,"p50":30.62,"p80":61.04},{"state":"MN","n":17,"p20":47.32,"p50":90.74,"p80":173.49},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":7,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":11,"p20":62.5,"p50":297.0,"p80":351.0},{"state":"OH","n":40,"p20":211.9,"p50":295.1,"p80":336.7},{"state":"OR","n":2,"p20":null,"p50":null,"p80":null},{"state":"PA","n":40,"p20":118.4,"p50":275.8,"p80":1365.0},{"state":"SC","n":12,"p20":323.7,"p50":323.7,"p80":323.7},{"state":"TN","n":11,"p20":120.64,"p50":155.02,"p80":157.8},{"state":"TX","n":42,"p20":92.46,"p50":121.8,"p80":310.48},{"state":"VA","n":18,"p20":142.5,"p50":142.5,"p80":425.0},{"state":"WA","n":18,"p20":75.6,"p50":91.6,"p80":110.52},{"state":"WI","n":17,"p20":135.85,"p50":160.0,"p80":163.9},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":371,"p20":70.2,"p50":144.0,"p80":323.7},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":32,"p20":73.14,"p50":155.02,"p80":336.95}],"ownership":[{"key":"for_profit","n":19,"p20":null,"p50":null,"p80":null},{"key":"government","n":34,"p20":65.88,"p50":105.53,"p80":247.92},{"key":"nonprofit","n":359,"p20":73.14,"p50":155.0,"p80":323.7}],"affiliation":[{"key":"affiliated","n":387,"p20":73.14,"p50":147.28,"p80":323.7},{"key":"independent","n":30,"p20":44.78,"p50":144.0,"p80":275.8}]},"histogram":[{"lo":29.0,"hi":41.57,"n":29},{"lo":41.57,"hi":59.59,"n":32},{"lo":59.59,"hi":85.41,"n":20},{"lo":85.41,"hi":122.43,"n":48},{"lo":122.43,"hi":175.49,"n":102},{"lo":175.49,"hi":251.56,"n":52},{"lo":251.56,"hi":360.58,"n":53},{"lo":360.58,"hi":516.87,"n":20},{"lo":516.87,"hi":740.89,"n":23},{"lo":740.89,"hi":1062.0,"n":4}],"previous":null}},"related":[{"code_type":"CPT","code":"88305","lay_name":"Tissue exam under microscope, moderate complexity","slug":"cpt-88305-tissue-exam-under-microscope-moderate-complexity"},{"code_type":"CPT","code":"88312","lay_name":"Special stain for germs such as bacteria or fungus","slug":"cpt-88312-special-stain-for-germs-such-as-bacteria-or-fungus"},{"code_type":"CPT","code":"88342","lay_name":"Special tissue stain for one marker, first stain","slug":"cpt-88342-special-tissue-stain-for-one-marker-first-stain"},{"code_type":"CPT","code":"88304","lay_name":"Tissue exam under microscope, low complexity","slug":"cpt-88304-tissue-exam-under-microscope-low-complexity"},{"code_type":"CPT","code":"88313","lay_name":"Special tissue stain for cell structures","slug":"cpt-88313-special-tissue-stain-for-cell-structures"},{"code_type":"CPT","code":"88307","lay_name":"Tissue exam under microscope, high complexity","slug":"cpt-88307-tissue-exam-under-microscope-high-complexity"},{"code_type":"CPT","code":"81241","lay_name":"Factor V Leiden blood clotting gene mutation test","slug":"cpt-81241-factor-v-leiden-blood-clotting-gene-mutation-test"},{"code_type":"CPT","code":"88302","lay_name":"Tissue exam under microscope, simplest level","slug":"cpt-88302-tissue-exam-under-microscope-simplest-level"},{"code_type":"CPT","code":"88184","lay_name":"Flow cytometry cell marker testing, first marker","slug":"cpt-88184-flow-cytometry-cell-marker-testing-first-marker"},{"code_type":"CPT","code":"88341","lay_name":"Special tissue stain for one more marker","slug":"cpt-88341-special-tissue-stain-for-one-more-marker"},{"code_type":"CPT","code":"88300","lay_name":"Tissue exam by eye only, no microscope","slug":"cpt-88300-tissue-exam-by-eye-only-no-microscope"},{"code_type":"CPT","code":"81240","lay_name":"Prothrombin blood clotting gene mutation test","slug":"cpt-81240-prothrombin-blood-clotting-gene-mutation-test"}]}