{"procedure":{"code_type":"CPT","code":"81206","lay_name":"BCR-ABL1 major breakpoint test for leukemia","blurb":"Laboratory test on blood or bone marrow that detects or measures the amount of the BCR-ABL1 fusion gene at the major breakpoint, seen in chronic myeloid leukemia.","slug":"cpt-81206-bcr-abl1-major-breakpoint-test-for-leukemia","description":"HC Bcr Abl 210","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":"2026-09-25T10:46:50.712029Z","filing_date_min":"2023-04-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":3032,"n_usable":2771,"n_not_usable":1,"n_labelled":150,"n_no_cash":109,"n_estimated":1,"n_states":50,"cash_p10":83.63,"cash_p20":152.1,"cash_p25":174.9,"cash_p50":304.95,"cash_p75":542.5,"cash_p80":615.0,"cash_p90":857.4,"cash_mean_trimmed":329.14,"gross_p50":531.0,"cash_to_gross_p50":0.6499,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":16,"p20":175.1,"p50":300.95,"p80":667.26},{"state":"AL","n":33,"p20":163.0,"p50":271.6,"p80":708.0},{"state":"AR","n":32,"p20":79.56,"p50":180.0,"p80":420.55},{"state":"AZ","n":36,"p20":175.77,"p50":443.68,"p80":957.0},{"state":"CA","n":117,"p20":60.38,"p50":118.8,"p80":275.52},{"state":"CO","n":64,"p20":202.8,"p50":350.0,"p80":883.64},{"state":"CT","n":17,"p20":273.0,"p50":395.0,"p80":511.56},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":125,"p20":68.0,"p50":189.0,"p80":491.88},{"state":"GA","n":84,"p20":143.28,"p50":185.4,"p80":586.96},{"state":"HI","n":14,"p20":212.4,"p50":456.0,"p80":1041.6},{"state":"IA","n":68,"p20":163.5,"p50":343.2,"p80":645.6},{"state":"ID","n":18,"p20":52.08,"p50":220.5,"p80":451.0},{"state":"IL","n":123,"p20":287.0,"p50":532.7,"p80":857.4},{"state":"IN","n":92,"p20":231.41,"p50":321.0,"p80":462.0},{"state":"KS","n":67,"p20":165.0,"p50":250.0,"p80":563.98},{"state":"KY","n":46,"p20":188.54,"p50":291.2,"p80":597.0},{"state":"LA","n":45,"p20":124.0,"p50":216.0,"p80":300.0},{"state":"MA","n":48,"p20":372.4,"p50":596.25,"p80":718.0},{"state":"MD","n":34,"p20":52.37,"p50":174.55,"p80":464.78},{"state":"ME","n":26,"p20":122.85,"p50":313.5,"p80":558.1},{"state":"MI","n":80,"p20":73.25,"p50":226.26,"p80":396.75},{"state":"MN","n":95,"p20":141.24,"p50":316.61,"p80":527.65},{"state":"MO","n":67,"p20":214.5,"p50":371.15,"p80":488.15},{"state":"MS","n":46,"p20":91.02,"p50":152.1,"p80":268.0},{"state":"MT","n":20,"p20":188.8,"p50":295.2,"p80":577.14},{"state":"NC","n":80,"p20":82.88,"p50":261.5,"p80":603.7},{"state":"ND","n":26,"p20":275.46,"p50":535.5,"p80":906.0},{"state":"NE","n":54,"p20":266.5,"p50":500.0,"p80":916.0},{"state":"NH","n":23,"p20":209.42,"p50":644.1,"p80":1090.4},{"state":"NJ","n":55,"p20":163.96,"p50":180.36,"p80":254.61},{"state":"NM","n":14,"p20":231.85,"p50":324.3,"p80":544.58},{"state":"NV","n":18,"p20":74.65,"p50":332.5,"p80":574.0},{"state":"NY","n":94,"p20":163.96,"p50":288.0,"p80":602.0},{"state":"OH","n":129,"p20":269.79,"p50":349.2,"p80":643.5},{"state":"OK","n":60,"p20":193.0,"p50":263.9,"p80":433.55},{"state":"OR","n":42,"p20":150.75,"p50":250.29,"p80":433.01},{"state":"PA","n":114,"p20":188.55,"p50":399.5,"p80":947.4},{"state":"RI","n":10,"p20":163.0,"p50":363.0,"p80":380.45},{"state":"SC","n":44,"p20":202.5,"p50":466.0,"p80":794.95},{"state":"SD","n":14,"p20":400.0,"p50":485.6,"p80":765.0},{"state":"TN","n":60,"p20":138.6,"p50":252.56,"p80":433.03},{"state":"TX","n":190,"p20":89.4,"p50":259.0,"p80":626.81},{"state":"UT","n":35,"p20":258.88,"p50":259.79,"p80":305.63},{"state":"VA","n":67,"p20":173.0,"p50":328.2,"p80":448.35},{"state":"VT","n":12,"p20":223.0,"p50":449.0,"p80":633.71},{"state":"WA","n":66,"p20":199.6,"p50":356.2,"p80":593.6},{"state":"WI","n":97,"p20":194.88,"p50":475.95,"p80":1013.35},{"state":"WV","n":35,"p20":50.0,"p50":245.0,"p80":546.48},{"state":"WY","n":12,"p20":229.71,"p50":344.12,"p80":528.41}],"by_segment":{"hospital_type":[{"key":"acute","n":1999,"p20":135.74,"p50":283.0,"p80":603.7},{"key":"childrens","n":43,"p20":80.0,"p50":269.79,"p80":679.0},{"key":"critical_access","n":719,"p20":206.0,"p50":377.4,"p80":668.76}],"ownership":[{"key":"for_profit","n":349,"p20":138.3,"p50":324.3,"p80":851.51},{"key":"government","n":471,"p20":152.1,"p50":314.2,"p80":603.7},{"key":"nonprofit","n":1941,"p20":155.73,"p50":301.5,"p80":593.35}],"affiliation":[{"key":"affiliated","n":2290,"p20":149.77,"p50":304.5,"p80":629.4},{"key":"independent","n":481,"p20":160.13,"p50":306.4,"p80":548.8}]},"histogram":[{"lo":56.87,"hi":76.89,"n":87},{"lo":76.89,"hi":103.95,"n":123},{"lo":103.95,"hi":140.53,"n":173},{"lo":140.53,"hi":189.99,"n":294},{"lo":189.99,"hi":256.86,"n":337},{"lo":256.86,"hi":347.26,"n":414},{"lo":347.26,"hi":469.48,"n":379},{"lo":469.48,"hi":634.72,"n":312},{"lo":634.72,"hi":858.11,"n":244},{"lo":858.11,"hi":1160.12,"n":139}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2023-04-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":2107,"n_usable":1903,"n_not_usable":0,"n_labelled":110,"n_no_cash":94,"n_estimated":0,"n_states":50,"cash_p10":93.6,"cash_p20":151.54,"cash_p25":178.2,"cash_p50":305.63,"cash_p75":538.86,"cash_p80":607.75,"cash_p90":837.76,"cash_mean_trimmed":327.59,"gross_p50":535.82,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":23,"p20":193.8,"p50":357.0,"p80":1084.56},{"state":"AR","n":12,"p20":32.08,"p50":133.35,"p80":351.6},{"state":"AZ","n":33,"p20":175.77,"p50":637.5,"p80":957.0},{"state":"CA","n":98,"p20":59.03,"p50":125.0,"p80":275.52},{"state":"CO","n":44,"p20":178.5,"p50":319.03,"p80":883.64},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":65,"p20":97.94,"p50":195.0,"p80":491.88},{"state":"GA","n":69,"p20":143.28,"p50":184.08,"p80":586.96},{"state":"HI","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":35,"p20":157.4,"p50":343.2,"p80":528.0},{"state":"ID","n":12,"p20":52.08,"p50":145.5,"p80":393.54},{"state":"IL","n":95,"p20":342.0,"p50":451.2,"p80":698.0},{"state":"IN","n":65,"p20":195.56,"p50":321.0,"p80":462.0},{"state":"KS","n":22,"p20":99.2,"p50":194.06,"p80":415.8},{"state":"KY","n":28,"p20":159.33,"p50":268.0,"p80":491.88},{"state":"LA","n":29,"p20":84.6,"p50":223.04,"p80":451.0},{"state":"MA","n":40,"p20":335.0,"p50":606.0,"p80":721.0},{"state":"MD","n":27,"p20":49.86,"p50":156.01,"p80":358.66},{"state":"ME","n":20,"p20":122.85,"p50":313.5,"p80":633.5},{"state":"MI","n":64,"p20":73.25,"p50":177.0,"p80":350.4},{"state":"MN","n":71,"p20":133.0,"p50":300.36,"p80":458.39},{"state":"MO","n":33,"p20":246.6,"p50":359.4,"p80":470.4},{"state":"MS","n":29,"p20":106.25,"p50":163.59,"p80":321.0},{"state":"MT","n":11,"p20":290.84,"p50":401.98,"p80":764.5},{"state":"NC","n":41,"p20":82.88,"p50":261.5,"p80":603.7},{"state":"ND","n":21,"p20":262.0,"p50":400.0,"p80":806.0},{"state":"NE","n":12,"p20":171.6,"p50":362.6,"p80":701.0},{"state":"NH","n":16,"p20":123.21,"p50":563.65,"p80":819.86},{"state":"NJ","n":26,"p20":188.55,"p50":188.55,"p80":533.35},{"state":"NM","n":10,"p20":268.8,"p50":330.6,"p80":679.7},{"state":"NV","n":11,"p20":239.11,"p50":401.8,"p80":574.0},{"state":"NY","n":51,"p20":210.24,"p50":512.1,"p80":714.0},{"state":"OH","n":118,"p20":269.79,"p50":348.4,"p80":682.0},{"state":"OK","n":43,"p20":150.58,"p50":254.38,"p80":385.35},{"state":"OR","n":23,"p20":172.9,"p50":234.0,"p80":498.88},{"state":"PA","n":102,"p20":237.6,"p50":523.9,"p80":947.4},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":36,"p20":243.0,"p50":492.74,"p80":794.95},{"state":"SD","n":9,"p20":null,"p50":null,"p80":null},{"state":"TN","n":50,"p20":138.6,"p50":241.26,"p80":299.91},{"state":"TX","n":143,"p20":80.5,"p50":207.0,"p80":378.88},{"state":"UT","n":27,"p20":259.79,"p50":259.79,"p80":305.63},{"state":"VA","n":50,"p20":51.5,"p50":286.2,"p80":381.5},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":47,"p20":214.9,"p50":333.6,"p80":618.24},{"state":"WI","n":81,"p20":165.55,"p50":449.9,"p80":1013.35},{"state":"WV","n":13,"p20":245.0,"p50":476.14,"p80":854.0},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1455,"p20":140.4,"p50":290.84,"p80":602.0},{"key":"childrens","n":33,"p20":80.0,"p50":249.6,"p80":879.75},{"key":"critical_access","n":405,"p20":194.06,"p50":350.0,"p80":684.75}],"ownership":[{"key":"for_profit","n":194,"p20":132.0,"p50":270.0,"p80":729.0},{"key":"government","n":255,"p20":138.6,"p50":299.52,"p80":597.0},{"key":"nonprofit","n":1444,"p20":157.4,"p50":305.63,"p80":615.0}],"affiliation":[{"key":"affiliated","n":1632,"p20":155.53,"p50":304.94,"p80":625.0},{"key":"independent","n":271,"p20":138.0,"p50":307.2,"p80":535.0}]},"histogram":[{"lo":64.35,"hi":85.44,"n":84},{"lo":85.44,"hi":113.43,"n":69},{"lo":113.43,"hi":150.6,"n":130},{"lo":150.6,"hi":199.95,"n":198},{"lo":199.95,"hi":265.47,"n":224},{"lo":265.47,"hi":352.46,"n":316},{"lo":352.46,"hi":467.96,"n":225},{"lo":467.96,"hi":621.3,"n":197},{"lo":621.3,"hi":824.89,"n":170},{"lo":824.89,"hi":1095.19,"n":100}],"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"}]}