{"procedure":{"code_type":"CPT","code":"81233","lay_name":"BTK gene test for common variants","blurb":"Laboratory analysis of the BTK gene for common variants, used in the setting of blood cancers treated with targeted drugs. Covers one test on one sample.","slug":"cpt-81233-btk-gene-test-for-common-variants","description":"BTK GENE COMMON VARIANTS","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":"2026-09-23T20:39:39.943925Z","filing_date_min":"2025-10-06","filing_date_max":"2026-09-05","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:09:37.598097Z","n_priced_setters":3956,"n_filed":221,"n_usable":207,"n_not_usable":1,"n_labelled":9,"n_no_cash":4,"n_estimated":0,"n_states":28,"cash_p10":130.44,"cash_p20":175.4,"cash_p25":188.6,"cash_p50":383.25,"cash_p75":491.75,"cash_p80":534.0,"cash_p90":786.5,"cash_mean_trimmed":325.37,"gross_p50":720.0,"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":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":273.0,"p50":403.2,"p80":403.2},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":7,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":10,"p20":405.3,"p50":405.3,"p80":405.3},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":30,"p20":175.4,"p50":192.94,"p80":2092.1},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":18,"p20":175.4,"p50":175.4,"p80":547.68},{"state":"OH","n":28,"p20":383.25,"p50":383.25,"p80":491.75},{"state":"OK","n":10,"p20":100.2,"p50":127.2,"p80":188.6},{"state":"OR","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":12,"p20":115.72,"p50":120.98,"p80":263.1},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":12,"p20":401.5,"p50":401.5,"p80":401.5},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":7,"p20":null,"p50":null,"p80":null},{"state":"WI","n":3,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":188,"p20":175.4,"p50":383.25,"p80":534.0},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":12,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":9,"p20":null,"p50":null,"p80":null},{"key":"government","n":18,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":180,"p20":175.4,"p50":383.25,"p80":544.0}],"affiliation":[{"key":"affiliated","n":191,"p20":175.4,"p50":383.25,"p80":527.0},{"key":"independent","n":16,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":115.72,"hi":153.57,"n":16},{"lo":153.57,"hi":203.8,"n":42},{"lo":203.8,"hi":270.46,"n":11},{"lo":270.46,"hi":358.93,"n":17},{"lo":358.93,"hi":476.33,"n":57},{"lo":476.33,"hi":632.14,"n":26},{"lo":632.14,"hi":838.9,"n":11},{"lo":838.9,"hi":1113.3,"n":2},{"lo":1113.3,"hi":1477.44,"n":2},{"lo":1477.44,"hi":1960.7,"n":7}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2025-12-15","filing_date_max":"2026-09-01","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:09:37.598097Z","n_priced_setters":3956,"n_filed":134,"n_usable":118,"n_not_usable":0,"n_labelled":11,"n_no_cash":5,"n_estimated":0,"n_states":18,"cash_p10":165.93,"cash_p20":256.35,"cash_p25":289.77,"cash_p50":401.5,"cash_p75":491.75,"cash_p80":525.72,"cash_p90":786.5,"cash_mean_trimmed":391.42,"gross_p50":720.0,"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":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":403.2,"p50":403.2,"p80":403.2},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":2,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":2,"p20":null,"p50":null,"p80":null},{"state":"OH","n":28,"p20":383.25,"p50":383.25,"p80":491.75},{"state":"OK","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":192.13,"p50":209.59,"p80":256.35},{"state":"TX","n":9,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":7,"p20":null,"p50":null,"p80":null},{"state":"WI","n":3,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":105,"p20":235.79,"p50":401.5,"p80":507.45},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":10,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":6,"p20":null,"p50":null,"p80":null},{"key":"government","n":8,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":104,"p20":256.35,"p50":403.2,"p80":525.72}],"affiliation":[{"key":"affiliated","n":112,"p20":289.77,"p50":401.5,"p80":525.72},{"key":"independent","n":6,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":126.0,"hi":165.8,"n":6},{"lo":165.8,"hi":218.16,"n":10},{"lo":218.16,"hi":287.07,"n":5},{"lo":287.07,"hi":377.73,"n":14},{"lo":377.73,"hi":497.04,"n":51},{"lo":497.04,"hi":654.03,"n":13},{"lo":654.03,"hi":860.6,"n":6},{"lo":860.6,"hi":1132.41,"n":0},{"lo":1132.41,"hi":1490.07,"n":2},{"lo":1490.07,"hi":1960.7,"n":6}],"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"}]}