{"procedure":{"code_type":"CPT","code":"81263","lay_name":"Immunoglobulin heavy chain variable region mutation test","blurb":"A laboratory test that measures whether the variable region of the immunoglobulin heavy chain gene carries somatic mutations, used in chronic lymphocytic leukemia evaluation.","slug":"cpt-81263-immunoglobulin-heavy-chain-variable-region-mutation-test","description":"HC Igh Somatic Hypermutation in Bcll","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":"2024-01-24","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":1894,"n_usable":1736,"n_not_usable":1,"n_labelled":100,"n_no_cash":56,"n_estimated":1,"n_states":50,"cash_p10":281.5,"cash_p20":350.66,"cash_p25":405.25,"cash_p50":604.4,"cash_p75":1014.65,"cash_p80":1129.8,"cash_p90":1541.0,"cash_mean_trimmed":653.32,"gross_p50":1104.0,"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":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":13,"p20":350.0,"p50":486.0,"p80":2205.0},{"state":"AR","n":15,"p20":190.71,"p50":560.3,"p80":580.45},{"state":"AZ","n":26,"p20":424.2,"p50":1024.56,"p80":1634.0},{"state":"CA","n":40,"p20":382.5,"p50":776.0,"p80":957.6},{"state":"CO","n":36,"p20":520.8,"p50":693.19,"p80":1111.5},{"state":"CT","n":15,"p20":445.41,"p50":932.94,"p80":1058.53},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":68,"p20":155.48,"p50":404.36,"p80":883.56},{"state":"GA","n":60,"p20":453.6,"p50":499.5,"p80":877.5},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":35,"p20":282.74,"p50":656.4,"p80":958.4},{"state":"ID","n":14,"p20":490.75,"p50":581.25,"p80":984.0},{"state":"IL","n":82,"p20":516.6,"p50":960.0,"p80":1630.2},{"state":"IN","n":49,"p20":350.66,"p50":447.12,"p80":671.12},{"state":"KS","n":30,"p20":309.0,"p50":610.35,"p80":1427.51},{"state":"KY","n":33,"p20":352.0,"p50":547.2,"p80":1012.73},{"state":"LA","n":29,"p20":347.38,"p50":501.2,"p80":823.13},{"state":"MA","n":38,"p20":595.87,"p50":1040.25,"p80":1350.0},{"state":"MD","n":31,"p20":311.93,"p50":483.04,"p80":626.74},{"state":"ME","n":20,"p20":236.08,"p50":557.94,"p80":1426.15},{"state":"MI","n":59,"p20":155.54,"p50":421.78,"p80":764.0},{"state":"MN","n":52,"p20":489.94,"p50":597.19,"p80":729.41},{"state":"MO","n":53,"p20":365.2,"p50":603.85,"p80":900.6},{"state":"MS","n":12,"p20":172.56,"p50":262.66,"p80":567.0},{"state":"MT","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":65,"p20":238.56,"p50":344.65,"p80":662.4},{"state":"ND","n":9,"p20":null,"p50":null,"p80":null},{"state":"NE","n":21,"p20":657.75,"p50":990.0,"p80":1134.38},{"state":"NH","n":15,"p20":312.12,"p50":549.78,"p80":1386.94},{"state":"NJ","n":42,"p20":294.52,"p50":323.97,"p80":457.13},{"state":"NM","n":13,"p20":373.1,"p50":947.16,"p80":1129.8},{"state":"NV","n":13,"p20":279.71,"p50":682.33,"p80":1515.3},{"state":"NY","n":68,"p20":346.5,"p50":577.0,"p80":1311.78},{"state":"OH","n":113,"p20":492.6,"p50":639.0,"p80":1320.8},{"state":"OK","n":39,"p20":264.2,"p50":536.16,"p80":870.35},{"state":"OR","n":23,"p20":468.0,"p50":702.84,"p80":896.03},{"state":"PA","n":92,"p20":338.7,"p50":804.3,"p80":1702.8},{"state":"RI","n":7,"p20":null,"p50":null,"p80":null},{"state":"SC","n":23,"p20":630.0,"p50":635.05,"p80":999.0},{"state":"SD","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":43,"p20":287.97,"p50":444.0,"p80":515.7},{"state":"TX","n":87,"p20":371.5,"p50":675.0,"p80":705.0},{"state":"UT","n":26,"p20":1016.79,"p50":1016.79,"p80":1196.22},{"state":"VA","n":43,"p20":161.0,"p50":546.7,"p80":1029.27},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":40,"p20":422.0,"p50":651.95,"p80":954.2},{"state":"WI","n":72,"p20":565.0,"p50":1200.47,"p80":1703.65},{"state":"WV","n":26,"p20":185.0,"p50":465.0,"p80":546.7},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1383,"p20":338.7,"p50":576.0,"p80":1076.4},{"key":"childrens","n":15,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":329,"p20":474.5,"p50":692.25,"p80":1298.5}],"ownership":[{"key":"for_profit","n":159,"p20":371.0,"p50":675.0,"p80":1441.79},{"key":"government","n":234,"p20":344.65,"p50":560.57,"p80":896.03},{"key":"nonprofit","n":1334,"p20":353.42,"p50":617.4,"p80":1175.33}],"affiliation":[{"key":"affiliated","n":1498,"p20":344.65,"p50":607.1,"p80":1178.25},{"key":"independent","n":238,"p20":382.5,"p50":577.01,"p80":960.0}]},"histogram":[{"lo":185.0,"hi":235.18,"n":53},{"lo":235.18,"hi":298.97,"n":111},{"lo":298.97,"hi":380.07,"n":158},{"lo":380.07,"hi":483.17,"n":221},{"lo":483.17,"hi":614.22,"n":255},{"lo":614.22,"hi":780.83,"n":229},{"lo":780.83,"hi":992.63,"n":175},{"lo":992.63,"hi":1261.88,"n":181},{"lo":1261.88,"hi":1604.17,"n":113},{"lo":1604.17,"hi":2039.3,"n":74}],"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":"2024-01-24","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":1403,"n_usable":1270,"n_not_usable":0,"n_labelled":79,"n_no_cash":54,"n_estimated":0,"n_states":49,"cash_p10":279.17,"cash_p20":365.2,"cash_p25":419.45,"cash_p50":634.11,"cash_p75":1034.15,"cash_p80":1218.75,"cash_p90":1634.0,"cash_mean_trimmed":675.85,"gross_p50":1125.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":9,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":23,"p20":430.8,"p50":1293.5,"p80":1634.0},{"state":"CA","n":31,"p20":430.0,"p50":957.6,"p80":957.6},{"state":"CO","n":27,"p20":500.0,"p50":693.19,"p80":968.27},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":48,"p20":201.0,"p50":410.4,"p80":1022.84},{"state":"GA","n":51,"p20":453.6,"p50":586.16,"p80":753.44},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":24,"p20":282.74,"p50":301.6,"p80":958.4},{"state":"ID","n":11,"p20":490.75,"p50":581.25,"p80":810.0},{"state":"IL","n":65,"p20":656.4,"p50":1020.0,"p80":1743.0},{"state":"IN","n":28,"p20":341.73,"p50":385.57,"p80":557.9},{"state":"KS","n":14,"p20":309.0,"p50":604.4,"p80":2682.09},{"state":"KY","n":21,"p20":341.85,"p50":388.8,"p80":883.56},{"state":"LA","n":20,"p20":347.38,"p50":501.2,"p80":823.13},{"state":"MA","n":33,"p20":527.8,"p50":1066.0,"p80":1435.0},{"state":"MD","n":24,"p20":256.25,"p50":479.7,"p80":669.63},{"state":"ME","n":17,"p20":236.08,"p50":621.0,"p80":1666.1},{"state":"MI","n":44,"p20":329.84,"p50":489.45,"p80":764.0},{"state":"MN","n":45,"p20":480.42,"p50":597.19,"p80":718.4},{"state":"MO","n":32,"p20":365.2,"p50":603.03,"p80":901.2},{"state":"MS","n":10,"p20":172.56,"p50":248.9,"p80":453.64},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":36,"p20":225.78,"p50":344.65,"p80":760.9},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":12,"p20":312.12,"p50":396.9,"p80":1382.45},{"state":"NJ","n":18,"p20":338.7,"p50":338.7,"p80":598.0},{"state":"NM","n":8,"p20":null,"p50":null,"p80":null},{"state":"NV","n":8,"p20":null,"p50":null,"p80":null},{"state":"NY","n":38,"p20":517.0,"p50":954.0,"p80":1313.4},{"state":"OH","n":107,"p20":492.6,"p50":639.0,"p80":1320.8},{"state":"OK","n":27,"p20":264.2,"p50":326.71,"p80":796.2},{"state":"OR","n":11,"p20":500.72,"p50":720.38,"p80":824.97},{"state":"PA","n":87,"p20":338.7,"p50":1020.6,"p80":1702.8},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":19,"p20":635.05,"p50":635.05,"p80":1218.75},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":35,"p20":281.94,"p50":444.0,"p80":515.7},{"state":"TX","n":76,"p20":376.32,"p50":675.0,"p80":675.0},{"state":"UT","n":22,"p20":1016.79,"p50":1016.79,"p80":1196.22},{"state":"VA","n":38,"p20":161.0,"p50":515.7,"p80":1029.27},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":32,"p20":422.0,"p50":530.4,"p80":871.6},{"state":"WI","n":60,"p20":581.63,"p50":926.75,"p80":1705.55},{"state":"WV","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1049,"p20":345.6,"p50":597.19,"p80":1196.22},{"key":"childrens","n":13,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":199,"p20":500.72,"p50":707.0,"p80":1365.0}],"ownership":[{"key":"for_profit","n":97,"p20":359.5,"p50":586.16,"p80":1319.25},{"key":"government","n":141,"p20":344.65,"p50":530.4,"p80":871.6},{"key":"nonprofit","n":1023,"p20":371.5,"p50":648.0,"p80":1237.0}],"affiliation":[{"key":"affiliated","n":1129,"p20":365.2,"p50":635.05,"p80":1227.6},{"key":"independent","n":141,"p20":367.9,"p50":560.0,"p80":870.0}]},"histogram":[{"lo":201.0,"hi":255.4,"n":46},{"lo":255.4,"hi":324.52,"n":74},{"lo":324.52,"hi":412.34,"n":129},{"lo":412.34,"hi":523.94,"n":197},{"lo":523.94,"hi":665.74,"n":166},{"lo":665.74,"hi":845.91,"n":150},{"lo":845.91,"hi":1074.84,"n":144},{"lo":1074.84,"hi":1365.73,"n":122},{"lo":1365.73,"hi":1735.35,"n":88},{"lo":1735.35,"hi":2205.0,"n":29}],"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"}]}