{"procedure":{"code_type":"CPT","code":"81304","lay_name":"MECP2 gene test for missing or extra gene segments","blurb":"A test that checks the MECP2 gene for deleted or duplicated pieces rather than single-letter changes.","slug":"cpt-81304-mecp2-gene-test-for-missing-or-extra-gene-segments","description":"MECP2 GENE DUP/DELET VARIANT","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":"2026-09-23T20:02:16.240551Z","filing_date_min":"2024-03-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":418,"n_usable":375,"n_not_usable":1,"n_labelled":36,"n_no_cash":6,"n_estimated":0,"n_states":39,"cash_p10":115.6,"cash_p20":153.56,"cash_p25":157.6,"cash_p50":292.32,"cash_p75":635.6,"cash_p80":758.35,"cash_p90":1075.0,"cash_mean_trimmed":331.84,"gross_p50":610.0,"cash_to_gross_p50":0.5396,"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":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":21,"p20":341.6,"p50":341.6,"p80":341.6},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":12,"p20":157.6,"p50":157.6,"p80":338.65},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":153.56,"p50":153.56,"p80":153.56},{"state":"IL","n":23,"p20":285.0,"p50":630.0,"p80":1155.0},{"state":"IN","n":15,"p20":187.6,"p50":217.55,"p80":307.7},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":9,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":25,"p20":150.0,"p50":165.0,"p80":165.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":29,"p20":102.95,"p50":150.0,"p80":225.0},{"state":"OH","n":23,"p20":295.2,"p50":298.2,"p80":672.75},{"state":"OK","n":3,"p20":null,"p50":null,"p80":null},{"state":"OR","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":17,"p20":62.79,"p50":80.14,"p80":322.8},{"state":"TN","n":15,"p20":124.41,"p50":157.8,"p80":157.8},{"state":"TX","n":48,"p20":228.42,"p50":597.5,"p80":758.35},{"state":"VA","n":11,"p20":157.8,"p50":157.8,"p80":1122.5},{"state":"WA","n":11,"p20":227.46,"p50":252.0,"p80":252.0},{"state":"WI","n":13,"p20":345.0,"p50":1075.0,"p80":1075.0},{"state":"WV","n":7,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":311,"p20":153.56,"p50":285.0,"p80":758.35},{"key":"childrens","n":28,"p20":46.88,"p50":335.0,"p80":1366.2},{"key":"critical_access","n":36,"p20":155.02,"p50":297.92,"p80":524.8}],"ownership":[{"key":"for_profit","n":21,"p20":124.41,"p50":330.2,"p80":758.35},{"key":"government","n":35,"p20":150.0,"p50":172.5,"p80":668.75},{"key":"nonprofit","n":319,"p20":153.56,"p50":295.2,"p80":758.35}],"affiliation":[{"key":"affiliated","n":342,"p20":153.56,"p50":292.32,"p80":736.26},{"key":"independent","n":33,"p20":54.0,"p50":265.0,"p80":1124.0}]},"histogram":[{"lo":65.52,"hi":88.29,"n":4},{"lo":88.29,"hi":118.96,"n":18},{"lo":118.96,"hi":160.3,"n":67},{"lo":160.3,"hi":216.0,"n":38},{"lo":216.0,"hi":291.06,"n":42},{"lo":291.06,"hi":392.2,"n":58},{"lo":392.2,"hi":528.48,"n":24},{"lo":528.48,"hi":712.12,"n":22},{"lo":712.12,"hi":959.57,"n":37},{"lo":959.57,"hi":1293.0,"n":29}],"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":"2024-03-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":309,"n_usable":268,"n_not_usable":0,"n_labelled":36,"n_no_cash":5,"n_estimated":0,"n_states":32,"cash_p10":124.41,"cash_p20":157.8,"cash_p25":175.0,"cash_p50":341.6,"cash_p75":668.75,"cash_p80":736.26,"cash_p90":1075.0,"cash_mean_trimmed":381.29,"gross_p50":610.0,"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":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":341.6,"p50":341.6,"p80":341.6},{"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":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":153.56,"p50":153.56,"p80":153.56},{"state":"IL","n":25,"p20":285.0,"p50":481.2,"p80":536.0},{"state":"IN","n":3,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":5,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":4,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":6,"p20":null,"p50":null,"p80":null},{"state":"OH","n":22,"p20":295.2,"p50":298.2,"p80":577.32},{"state":"OK","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":14,"p20":60.06,"p50":70.98,"p80":224.4},{"state":"TN","n":14,"p20":124.41,"p50":157.8,"p80":157.8},{"state":"TX","n":45,"p20":337.75,"p50":597.5,"p80":758.35},{"state":"VA","n":11,"p20":157.8,"p50":157.8,"p80":1122.5},{"state":"WA","n":11,"p20":227.46,"p50":315.2,"p80":315.2},{"state":"WI","n":13,"p20":345.0,"p50":1075.0,"p80":1075.0}],"by_segment":{"hospital_type":[{"key":"acute","n":220,"p20":157.8,"p50":341.6,"p80":736.26},{"key":"childrens","n":20,"p20":46.88,"p50":500.0,"p80":1366.2},{"key":"critical_access","n":28,"p20":212.22,"p50":308.56,"p80":672.75}],"ownership":[{"key":"for_profit","n":11,"p20":null,"p50":null,"p80":null},{"key":"government","n":16,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":241,"p20":157.8,"p50":341.6,"p80":736.26}],"affiliation":[{"key":"affiliated","n":250,"p20":157.8,"p50":341.6,"p80":736.26},{"key":"independent","n":18,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":70.98,"hi":94.52,"n":11},{"lo":94.52,"hi":125.86,"n":5},{"lo":125.86,"hi":167.59,"n":35},{"lo":167.59,"hi":223.16,"n":11},{"lo":223.16,"hi":297.15,"n":28},{"lo":297.15,"hi":395.68,"n":51},{"lo":395.68,"hi":526.88,"n":29},{"lo":526.88,"hi":701.59,"n":24},{"lo":701.59,"hi":934.23,"n":31},{"lo":934.23,"hi":1244.0,"n":17}],"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"}]}