{"procedure":{"code_type":"CPT","code":"81269","lay_name":"Alpha globin gene test for deletions and duplications","blurb":"A laboratory test that looks for missing or extra copies of segments of the two alpha globin genes, beyond the common deletions.","slug":"cpt-81269-alpha-globin-gene-test-for-deletions-and-duplications","description":"HBA1/HBA2 GENE DUP/DEL VRNTS","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":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":1308,"n_usable":1206,"n_not_usable":1,"n_labelled":69,"n_no_cash":31,"n_estimated":1,"n_states":50,"cash_p10":186.67,"cash_p20":232.76,"cash_p25":263.12,"cash_p50":414.15,"cash_p75":596.03,"cash_p80":638.4,"cash_p90":908.05,"cash_mean_trimmed":416.0,"gross_p50":708.0,"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":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":11,"p20":803.25,"p50":820.0,"p80":2554.5},{"state":"AR","n":17,"p20":231.0,"p50":406.25,"p80":424.8},{"state":"AZ","n":11,"p20":232.76,"p50":334.75,"p80":525.0},{"state":"CA","n":33,"p20":162.5,"p50":459.2,"p80":459.2},{"state":"CO","n":27,"p20":263.12,"p50":367.5,"p80":514.39},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":38,"p20":202.4,"p50":437.45,"p80":1251.95},{"state":"GA","n":29,"p20":190.32,"p50":409.4,"p80":643.2},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":28,"p20":194.31,"p50":320.0,"p80":597.6},{"state":"ID","n":12,"p20":546.0,"p50":550.79,"p80":900.0},{"state":"IL","n":57,"p20":349.8,"p50":624.0,"p80":780.48},{"state":"IN","n":42,"p20":242.8,"p50":323.0,"p80":409.5},{"state":"KS","n":9,"p20":null,"p50":null,"p80":null},{"state":"KY","n":20,"p20":211.29,"p50":401.66,"p80":607.2},{"state":"LA","n":29,"p20":100.35,"p50":267.52,"p80":637.0},{"state":"MA","n":16,"p20":319.5,"p50":576.8,"p80":1128.0},{"state":"MD","n":22,"p20":396.94,"p50":494.55,"p80":2989.14},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":40,"p20":276.25,"p50":280.31,"p80":431.25},{"state":"MN","n":59,"p20":245.06,"p50":390.75,"p80":616.0},{"state":"MO","n":36,"p20":349.8,"p50":382.8,"p80":503.8},{"state":"MS","n":12,"p20":190.38,"p50":259.44,"p80":328.5},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":35,"p20":276.88,"p50":425.04,"p80":455.4},{"state":"ND","n":8,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":36,"p20":202.4,"p50":222.64,"p80":232.76},{"state":"NM","n":8,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":52,"p20":202.4,"p50":375.0,"p80":552.26},{"state":"OH","n":90,"p20":367.9,"p50":570.05,"p80":743.25},{"state":"OK","n":19,"p20":252.85,"p50":385.45,"p80":599.3},{"state":"OR","n":14,"p20":364.0,"p50":422.5,"p80":646.31},{"state":"PA","n":45,"p20":164.16,"p50":414.15,"p80":2100.0},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":14,"p20":227.5,"p50":227.5,"p80":585.0},{"state":"SD","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":28,"p20":110.4,"p50":140.7,"p80":256.74},{"state":"TX","n":84,"p20":194.24,"p50":454.08,"p80":480.0},{"state":"UT","n":24,"p20":475.54,"p50":475.54,"p80":559.46},{"state":"VA","n":21,"p20":110.4,"p50":184.5,"p80":594.0},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":22,"p20":203.1,"p50":222.8,"p80":560.16},{"state":"WI","n":75,"p20":390.61,"p50":571.48,"p80":773.3},{"state":"WV","n":20,"p20":279.5,"p50":279.5,"p80":290.0},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":977,"p20":222.64,"p50":408.1,"p80":631.4},{"key":"childrens","n":24,"p20":358.56,"p50":626.0,"p80":1082.0},{"key":"critical_access","n":199,"p20":288.65,"p50":432.11,"p80":646.31}],"ownership":[{"key":"for_profit","n":69,"p20":211.85,"p50":450.0,"p80":810.0},{"key":"government","n":153,"p20":202.4,"p50":363.6,"p80":597.6},{"key":"nonprofit","n":978,"p20":232.76,"p50":424.2,"p80":638.4}],"affiliation":[{"key":"affiliated","n":1070,"p20":227.5,"p50":409.4,"p80":630.0},{"key":"independent","n":136,"p20":272.0,"p50":431.25,"p80":797.25}]},"histogram":[{"lo":140.68,"hi":176.3,"n":42},{"lo":176.3,"hi":220.93,"n":102},{"lo":220.93,"hi":276.86,"n":127},{"lo":276.86,"hi":346.95,"n":149},{"lo":346.95,"hi":434.78,"n":162},{"lo":434.78,"hi":544.86,"n":188},{"lo":544.86,"hi":682.8,"n":155},{"lo":682.8,"hi":855.65,"n":93},{"lo":855.65,"hi":1072.28,"n":39},{"lo":1072.28,"hi":1343.74,"n":29}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":1011,"n_usable":927,"n_not_usable":0,"n_labelled":55,"n_no_cash":29,"n_estimated":0,"n_states":48,"cash_p10":186.67,"cash_p20":232.76,"cash_p25":263.43,"cash_p50":432.75,"cash_p75":622.38,"cash_p80":697.45,"cash_p90":908.05,"cash_mean_trimmed":428.67,"gross_p50":716.0,"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":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":9,"p20":null,"p50":null,"p80":null},{"state":"AR","n":7,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":9,"p20":null,"p50":null,"p80":null},{"state":"CA","n":32,"p20":162.5,"p50":459.2,"p80":459.2},{"state":"CO","n":22,"p20":263.12,"p50":367.5,"p80":646.75},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":24,"p20":377.79,"p50":1012.52,"p80":2231.46},{"state":"GA","n":25,"p20":190.32,"p50":409.4,"p80":432.75},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":21,"p20":194.31,"p50":194.31,"p80":568.75},{"state":"ID","n":10,"p20":475.54,"p50":550.79,"p80":550.79},{"state":"IL","n":55,"p20":390.26,"p50":672.0,"p80":876.0},{"state":"IN","n":29,"p20":238.76,"p50":328.5,"p80":580.0},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":19,"p20":211.29,"p50":421.2,"p80":607.2},{"state":"LA","n":18,"p20":100.35,"p50":159.46,"p80":284.24},{"state":"MA","n":14,"p20":299.25,"p50":576.8,"p80":1128.0},{"state":"MD","n":15,"p20":325.24,"p50":414.83,"p80":543.35},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":29,"p20":276.25,"p50":280.31,"p80":690.95},{"state":"MN","n":51,"p20":245.06,"p50":394.68,"p80":616.0},{"state":"MO","n":22,"p20":349.8,"p50":359.4,"p80":435.6},{"state":"MS","n":8,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":21,"p20":276.88,"p50":379.12,"p80":425.04},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":16,"p20":232.76,"p50":232.76,"p80":489.6},{"state":"NM","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":23,"p20":340.0,"p50":448.71,"p80":971.0},{"state":"OH","n":87,"p20":381.6,"p50":570.05,"p80":743.25},{"state":"OK","n":10,"p20":260.64,"p50":260.64,"p80":489.6},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":42,"p20":322.8,"p50":438.0,"p80":3711.17},{"state":"SC","n":14,"p20":227.5,"p50":227.5,"p80":585.0},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":26,"p20":110.4,"p50":128.8,"p80":256.74},{"state":"TX","n":78,"p20":194.24,"p50":443.75,"p80":480.0},{"state":"UT","n":22,"p20":475.54,"p50":475.54,"p80":559.46},{"state":"VA","n":21,"p20":110.4,"p50":184.5,"p80":594.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":22,"p20":203.1,"p50":270.64,"p80":560.16},{"state":"WI","n":63,"p20":407.57,"p50":574.75,"p80":838.5},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":772,"p20":232.76,"p50":424.2,"p80":683.0},{"key":"childrens","n":17,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":132,"p20":280.31,"p50":475.54,"p80":830.4}],"ownership":[{"key":"for_profit","n":53,"p20":190.32,"p50":409.4,"p80":743.25},{"key":"government","n":92,"p20":194.24,"p50":351.0,"p80":620.0},{"key":"nonprofit","n":776,"p20":243.28,"p50":438.0,"p80":697.45}],"affiliation":[{"key":"affiliated","n":845,"p20":232.76,"p50":432.75,"p80":704.0},{"key":"independent","n":82,"p20":249.3,"p50":424.2,"p80":646.75}]},"histogram":[{"lo":137.5,"hi":177.62,"n":37},{"lo":177.62,"hi":229.46,"n":88},{"lo":229.46,"hi":296.41,"n":117},{"lo":296.41,"hi":382.91,"n":115},{"lo":382.91,"hi":494.64,"n":192},{"lo":494.64,"hi":638.99,"n":115},{"lo":638.99,"hi":825.45,"n":82},{"lo":825.45,"hi":1066.32,"n":60},{"lo":1066.32,"hi":1377.48,"n":22},{"lo":1377.48,"hi":1779.44,"n":7}],"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"}]}