{"procedure":{"code_type":"CPT","code":"81299","lay_name":"MSH6 gene test for a known family variant","blurb":"A test that looks only for a specific MSH6 gene change already found in a relative, rather than sequencing the whole gene.","slug":"cpt-81299-msh6-gene-test-for-a-known-family-variant","description":"MSH6 GENE KNOWN 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":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-07-02","filing_date_max":"2026-09-22","checked_from":"2026-09-05T10:45:50.833230Z","checked_through":"2026-09-25T01:09:27.151989Z","n_priced_setters":3956,"n_filed":419,"n_usable":385,"n_not_usable":1,"n_labelled":22,"n_no_cash":11,"n_estimated":0,"n_states":37,"cash_p10":166.4,"cash_p20":230.91,"cash_p25":295.68,"cash_p50":440.0,"cash_p75":711.2,"cash_p80":827.45,"cash_p90":1204.0,"cash_mean_trimmed":459.01,"gross_p50":883.0,"cash_to_gross_p50":0.56,"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":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":21,"p20":1120.0,"p50":1120.0,"p80":1120.0},{"state":"CO","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":4,"p20":null,"p50":null,"p80":null},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":12,"p20":295.68,"p50":295.68,"p80":295.68},{"state":"IL","n":21,"p20":711.2,"p50":711.2,"p80":3027.6},{"state":"IN","n":25,"p20":145.53,"p50":384.81,"p80":588.63},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":379.08,"p50":2171.89,"p80":2171.89},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":18,"p20":425.04,"p50":442.0,"p80":475.86},{"state":"MN","n":12,"p20":440.0,"p50":440.0,"p80":445.0},{"state":"MO","n":8,"p20":null,"p50":null,"p80":null},{"state":"MS","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":29,"p20":308.0,"p50":338.8,"p80":601.34},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":16,"p20":308.0,"p50":308.0,"p80":308.0},{"state":"OH","n":19,"p20":611.65,"p50":827.45,"p80":827.45},{"state":"OK","n":16,"p20":166.4,"p50":306.24,"p80":556.4},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":19,"p20":109.3,"p50":149.57,"p80":462.0},{"state":"TN","n":20,"p20":109.92,"p50":207.0,"p80":2931.66},{"state":"TX","n":22,"p20":369.6,"p50":369.6,"p80":750.0},{"state":"VA","n":25,"p20":207.0,"p50":216.0,"p80":513.1},{"state":"WA","n":18,"p20":196.0,"p50":401.8,"p80":910.65},{"state":"WI","n":17,"p20":450.0,"p50":519.4,"p80":519.4},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":312,"p20":216.0,"p50":369.6,"p80":893.75},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":65,"p20":435.6,"p50":513.1,"p80":748.35}],"ownership":[{"key":"for_profit","n":20,"p20":313.6,"p50":475.86,"p80":2488.0},{"key":"government","n":35,"p20":259.7,"p50":379.08,"p80":820.3},{"key":"nonprofit","n":328,"p20":216.0,"p50":440.0,"p80":816.0}],"affiliation":[{"key":"affiliated","n":361,"p20":216.0,"p50":440.0,"p80":827.45},{"key":"independent","n":24,"p20":308.0,"p50":388.08,"p80":924.0}]},"histogram":[{"lo":114.81,"hi":154.05,"n":16},{"lo":154.05,"hi":206.71,"n":18},{"lo":206.71,"hi":277.36,"n":32},{"lo":277.36,"hi":372.15,"n":85},{"lo":372.15,"hi":499.35,"n":59},{"lo":499.35,"hi":670.03,"n":47},{"lo":670.03,"hi":899.04,"n":37},{"lo":899.04,"hi":1206.33,"n":34},{"lo":1206.33,"hi":1618.65,"n":9},{"lo":1618.65,"hi":2171.89,"n":10}],"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":"2025-01-01","filing_date_max":"2026-09-17","checked_from":"2026-09-05T11:47:26.045722Z","checked_through":"2026-09-25T01:09:27.151989Z","n_priced_setters":3956,"n_filed":278,"n_usable":264,"n_not_usable":0,"n_labelled":2,"n_no_cash":12,"n_estimated":0,"n_states":34,"cash_p10":138.06,"cash_p20":207.0,"cash_p25":216.0,"cash_p50":379.08,"cash_p75":770.0,"cash_p80":894.3,"cash_p90":1120.0,"cash_mean_trimmed":427.36,"gross_p50":733.0,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":1120.0,"p50":1120.0,"p80":1120.0},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":4,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":295.68,"p50":295.68,"p80":295.68},{"state":"IL","n":14,"p20":1290.0,"p50":3027.6,"p80":4348.8},{"state":"IN","n":12,"p20":139.06,"p50":149.0,"p80":230.91},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":9,"p20":null,"p50":null,"p80":null},{"state":"MN","n":11,"p20":440.0,"p50":440.0,"p80":440.0},{"state":"MO","n":8,"p20":null,"p50":null,"p80":null},{"state":"MS","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":3,"p20":null,"p50":null,"p80":null},{"state":"OH","n":19,"p20":611.65,"p50":827.45,"p80":827.45},{"state":"OK","n":15,"p20":166.4,"p50":306.24,"p80":556.4},{"state":"OR","n":3,"p20":null,"p50":null,"p80":null},{"state":"PA","n":17,"p20":109.3,"p50":138.06,"p80":235.8},{"state":"TN","n":19,"p20":109.92,"p50":207.0,"p80":2931.66},{"state":"TX","n":18,"p20":369.6,"p50":369.6,"p80":369.6},{"state":"VA","n":25,"p20":207.0,"p50":216.0,"p80":513.1},{"state":"WA","n":13,"p20":245.2,"p50":259.7,"p80":551.2},{"state":"WI","n":10,"p20":450.0,"p50":450.0,"p80":450.0},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":220,"p20":207.0,"p50":369.6,"p80":904.02},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":38,"p20":369.6,"p50":450.0,"p80":766.35}],"ownership":[{"key":"for_profit","n":9,"p20":null,"p50":null,"p80":null},{"key":"government","n":19,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":234,"p20":207.0,"p50":378.24,"p80":894.3}],"affiliation":[{"key":"affiliated","n":250,"p20":207.0,"p50":378.24,"p80":894.3},{"key":"independent","n":14,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":109.92,"hi":152.64,"n":21},{"lo":152.64,"hi":211.97,"n":25},{"lo":211.97,"hi":294.37,"n":28},{"lo":294.37,"hi":408.78,"n":51},{"lo":408.78,"hi":567.67,"n":44},{"lo":567.67,"hi":788.31,"n":17},{"lo":788.31,"hi":1094.72,"n":22},{"lo":1094.72,"hi":1520.22,"n":26},{"lo":1520.22,"hi":2111.11,"n":1},{"lo":2111.11,"hi":2931.66,"n":8}],"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"}]}