{"procedure":{"code_type":"CPT","code":"81207","lay_name":"BCR-ABL1 minor breakpoint test for leukemia","blurb":"Laboratory test on blood or bone marrow that detects or measures the BCR-ABL1 fusion gene at the minor breakpoint, most often seen in acute lymphoblastic leukemia.","slug":"cpt-81207-bcr-abl1-minor-breakpoint-test-for-leukemia","description":"HC Bcr-Abl1, Minor, Quant","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":"2023-11-06","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":2781,"n_usable":2538,"n_not_usable":1,"n_labelled":134,"n_no_cash":107,"n_estimated":1,"n_states":50,"cash_p10":80.5,"cash_p20":131.0,"cash_p25":150.0,"cash_p50":261.0,"cash_p75":456.25,"cash_p80":524.13,"cash_p90":752.64,"cash_mean_trimmed":283.36,"gross_p50":462.5,"cash_to_gross_p50":0.62,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":16,"p20":154.49,"p50":285.3,"p80":693.0},{"state":"AL","n":31,"p20":158.27,"p50":289.56,"p80":440.22},{"state":"AR","n":29,"p20":63.42,"p50":179.19,"p80":436.15},{"state":"AZ","n":35,"p20":153.92,"p50":429.89,"p80":847.0},{"state":"CA","n":111,"p20":52.5,"p50":118.8,"p80":243.6},{"state":"CO","n":56,"p20":133.98,"p50":283.5,"p80":752.64},{"state":"CT","n":15,"p20":312.85,"p50":474.65,"p80":599.36},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":113,"p20":80.0,"p50":169.65,"p80":354.96},{"state":"GA","n":79,"p20":143.73,"p50":269.32,"p80":666.0},{"state":"HI","n":14,"p20":212.4,"p50":403.5,"p80":965.3},{"state":"IA","n":48,"p20":153.56,"p50":255.0,"p80":409.5},{"state":"ID","n":17,"p20":52.08,"p50":210.0,"p80":388.0},{"state":"IL","n":99,"p20":175.0,"p50":372.9,"p80":610.8},{"state":"IN","n":85,"p20":198.09,"p50":294.89,"p80":404.4},{"state":"KS","n":56,"p20":125.4,"p50":234.0,"p80":457.38},{"state":"KY","n":42,"p20":175.8,"p50":297.8,"p80":566.0},{"state":"LA","n":42,"p20":104.37,"p50":200.0,"p80":371.0},{"state":"MA","n":40,"p20":295.0,"p50":479.25,"p80":683.0},{"state":"MD","n":35,"p20":49.86,"p50":162.62,"p80":421.09},{"state":"ME","n":25,"p20":97.02,"p50":242.5,"p80":462.5},{"state":"MI","n":77,"p20":64.72,"p50":177.0,"p80":308.8},{"state":"MN","n":91,"p20":135.85,"p50":228.56,"p80":379.28},{"state":"MO","n":62,"p20":217.8,"p50":402.0,"p80":558.45},{"state":"MS","n":43,"p20":88.68,"p50":134.88,"p80":234.96},{"state":"MT","n":19,"p20":163.0,"p50":306.0,"p80":711.0},{"state":"NC","n":80,"p20":82.88,"p50":225.0,"p80":470.4},{"state":"ND","n":21,"p20":232.0,"p50":364.0,"p80":776.0},{"state":"NE","n":44,"p20":211.2,"p50":291.0,"p80":487.47},{"state":"NH","n":22,"p20":211.14,"p50":620.0,"p80":775.0},{"state":"NJ","n":50,"p20":144.84,"p50":166.0,"p80":224.6},{"state":"NM","n":16,"p20":248.4,"p50":268.8,"p80":481.72},{"state":"NV","n":16,"p20":74.65,"p50":211.41,"p80":506.8},{"state":"NY","n":86,"p20":144.84,"p50":254.0,"p80":588.0},{"state":"OH","n":129,"p20":237.9,"p50":322.0,"p80":600.0},{"state":"OK","n":51,"p20":109.24,"p50":239.8,"p80":477.75},{"state":"OR","n":39,"p20":126.1,"p50":322.0,"p80":440.64},{"state":"PA","n":102,"p20":166.57,"p50":311.75,"p80":1051.2},{"state":"RI","n":10,"p20":144.0,"p50":312.85,"p80":955.0},{"state":"SC","n":44,"p20":194.5,"p50":459.96,"p80":555.1},{"state":"SD","n":11,"p20":353.6,"p50":506.34,"p80":524.8},{"state":"TN","n":62,"p20":141.52,"p50":231.0,"p80":523.67},{"state":"TX","n":175,"p20":80.5,"p50":252.0,"p80":626.81},{"state":"UT","n":32,"p20":251.21,"p50":325.16,"p80":382.54},{"state":"VA","n":67,"p20":164.1,"p50":284.33,"p80":433.65},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":64,"p20":204.72,"p50":300.05,"p80":450.4},{"state":"WI","n":77,"p20":147.1,"p50":385.0,"p80":868.4},{"state":"WV","n":32,"p20":50.0,"p50":173.29,"p80":456.0},{"state":"WY","n":12,"p20":213.18,"p50":303.99,"p80":467.19}],"by_segment":{"hospital_type":[{"key":"acute","n":1879,"p20":119.9,"p50":252.0,"p80":524.13},{"key":"childrens","n":41,"p20":79.8,"p50":269.79,"p80":679.0},{"key":"critical_access","n":608,"p20":166.4,"p50":290.8,"p80":514.8}],"ownership":[{"key":"for_profit","n":326,"p20":137.75,"p50":269.32,"p80":732.0},{"key":"government","n":401,"p20":141.5,"p50":257.0,"p80":501.75},{"key":"nonprofit","n":1801,"p20":128.7,"p50":261.6,"p80":506.8}],"affiliation":[{"key":"affiliated","n":2121,"p20":129.0,"p50":260.72,"p80":543.2},{"key":"independent","n":417,"p20":141.6,"p50":263.9,"p80":477.5}]},"histogram":[{"lo":55.23,"hi":74.15,"n":69},{"lo":74.15,"hi":99.56,"n":160},{"lo":99.56,"hi":133.67,"n":164},{"lo":133.67,"hi":179.46,"n":298},{"lo":179.46,"hi":240.95,"n":309},{"lo":240.95,"hi":323.51,"n":402},{"lo":323.51,"hi":434.34,"n":322},{"lo":434.34,"hi":583.15,"n":250},{"lo":583.15,"hi":782.95,"n":202},{"lo":782.95,"hi":1051.2,"n":114}],"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":"2023-11-06","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":1955,"n_usable":1762,"n_not_usable":0,"n_labelled":103,"n_no_cash":90,"n_estimated":0,"n_states":50,"cash_p10":82.88,"cash_p20":131.0,"cash_p25":153.56,"cash_p50":264.48,"cash_p75":457.38,"cash_p80":536.4,"cash_p90":761.0,"cash_mean_trimmed":285.77,"gross_p50":468.0,"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":21,"p20":213.4,"p50":351.0,"p80":2679.65},{"state":"AR","n":11,"p20":39.36,"p50":106.78,"p80":262.8},{"state":"AZ","n":32,"p20":155.27,"p50":523.8,"p80":847.0},{"state":"CA","n":94,"p20":52.5,"p50":133.6,"p80":420.16},{"state":"CO","n":40,"p20":115.14,"p50":283.5,"p80":752.64},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":60,"p20":97.94,"p50":169.65,"p80":239.0},{"state":"GA","n":66,"p20":143.73,"p50":269.32,"p80":655.5},{"state":"HI","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":23,"p20":153.56,"p50":156.0,"p80":318.5},{"state":"ID","n":11,"p20":52.08,"p50":126.1,"p80":325.16},{"state":"IL","n":81,"p20":246.22,"p50":372.9,"p80":595.0},{"state":"IN","n":59,"p20":178.26,"p50":310.83,"p80":418.2},{"state":"KS","n":17,"p20":94.8,"p50":108.0,"p80":380.7},{"state":"KY","n":26,"p20":167.0,"p50":236.8,"p80":399.0},{"state":"LA","n":27,"p20":86.7,"p50":218.4,"p80":371.0},{"state":"MA","n":34,"p20":293.13,"p50":492.57,"p80":720.0},{"state":"MD","n":27,"p20":49.86,"p50":142.69,"p80":249.86},{"state":"ME","n":19,"p20":97.02,"p50":242.5,"p80":488.65},{"state":"MI","n":62,"p20":64.72,"p50":136.5,"p80":280.0},{"state":"MN","n":68,"p20":132.0,"p50":256.44,"p80":379.28},{"state":"MO","n":30,"p20":215.0,"p50":297.0,"p80":415.2},{"state":"MS","n":29,"p20":118.11,"p50":187.55,"p80":255.27},{"state":"MT","n":10,"p20":163.0,"p50":356.48,"p80":509.84},{"state":"NC","n":42,"p20":82.88,"p50":219.8,"p80":603.65},{"state":"ND","n":18,"p20":225.96,"p50":260.72,"p80":618.4},{"state":"NE","n":9,"p20":null,"p50":null,"p80":null},{"state":"NH","n":14,"p20":32.4,"p50":349.6,"p80":775.0},{"state":"NJ","n":24,"p20":166.57,"p50":166.57,"p80":498.13},{"state":"NM","n":11,"p20":253.2,"p50":315.0,"p80":557.2},{"state":"NV","n":10,"p20":74.65,"p50":372.0,"p80":506.8},{"state":"NY","n":49,"p20":173.81,"p50":380.75,"p80":795.0},{"state":"OH","n":118,"p20":237.9,"p50":318.75,"p80":649.35},{"state":"OK","n":36,"p20":109.24,"p50":168.0,"p80":529.5},{"state":"OR","n":21,"p20":165.0,"p50":381.75,"p80":440.64},{"state":"PA","n":93,"p20":224.8,"p50":445.5,"p80":1051.2},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":36,"p20":200.4,"p50":492.74,"p80":555.1},{"state":"SD","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":53,"p20":141.52,"p50":231.0,"p80":482.65},{"state":"TX","n":135,"p20":80.5,"p50":207.0,"p80":337.5},{"state":"UT","n":25,"p20":325.16,"p50":325.16,"p80":382.54},{"state":"VA","n":50,"p20":51.5,"p50":253.65,"p80":328.2},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":47,"p20":205.53,"p50":291.9,"p80":450.4},{"state":"WI","n":61,"p20":141.3,"p50":378.71,"p80":868.4},{"state":"WV","n":10,"p20":198.64,"p50":336.0,"p80":645.0},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1379,"p20":126.1,"p50":261.6,"p80":531.0},{"key":"childrens","n":32,"p20":79.8,"p50":259.6,"p80":716.25},{"key":"critical_access","n":341,"p20":148.1,"p50":274.92,"p80":536.4}],"ownership":[{"key":"for_profit","n":186,"p20":132.5,"p50":269.32,"p80":655.5},{"key":"government","n":221,"p20":119.0,"p50":254.1,"p80":536.4},{"key":"nonprofit","n":1345,"p20":133.6,"p50":268.19,"p80":520.0}],"affiliation":[{"key":"affiliated","n":1528,"p20":133.02,"p50":264.48,"p80":555.1},{"key":"independent","n":234,"p20":118.8,"p50":263.9,"p80":455.25}]},"histogram":[{"lo":60.37,"hi":79.81,"n":48},{"lo":79.81,"hi":105.52,"n":110},{"lo":105.52,"hi":139.5,"n":141},{"lo":139.5,"hi":184.43,"n":182},{"lo":184.43,"hi":243.83,"n":196},{"lo":243.83,"hi":322.37,"n":291},{"lo":322.37,"hi":426.19,"n":227},{"lo":426.19,"hi":563.46,"n":159},{"lo":563.46,"hi":744.93,"n":127},{"lo":744.93,"hi":984.85,"n":105}],"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"}]}