{"procedure":{"code_type":"CPT","code":"81335","lay_name":"TPMT gene test for common variants affecting drug handling","blurb":"Laboratory test that checks the TPMT gene for a small set of common changes that influence how the body breaks down certain medicines.","slug":"cpt-81335-tpmt-gene-test-for-common-variants-affecting-drug-handling","description":"TPMT GENE COM 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":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":1699,"n_usable":1545,"n_not_usable":1,"n_labelled":100,"n_no_cash":53,"n_estimated":0,"n_states":50,"cash_p10":145.53,"cash_p20":175.0,"cash_p25":196.8,"cash_p50":322.95,"cash_p75":539.0,"cash_p80":613.6,"cash_p90":898.0,"cash_mean_trimmed":343.83,"gross_p50":603.0,"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":11,"p20":400.45,"p50":620.88,"p80":839.28},{"state":"AL","n":11,"p20":196.75,"p50":342.0,"p80":407.64},{"state":"AR","n":15,"p20":52.8,"p50":369.85,"p80":381.55},{"state":"AZ","n":12,"p20":132.24,"p50":187.4,"p80":441.96},{"state":"CA","n":70,"p20":76.5,"p50":420.0,"p80":1209.6},{"state":"CO","n":28,"p20":210.0,"p50":331.8,"p80":627.41},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":62,"p20":174.81,"p50":350.0,"p80":879.77},{"state":"GA","n":58,"p20":170.04,"p50":312.0,"p80":898.0},{"state":"HI","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":27,"p20":167.82,"p50":199.82,"p80":467.4},{"state":"ID","n":13,"p20":221.88,"p50":221.88,"p80":423.8},{"state":"IL","n":72,"p20":220.32,"p50":417.6,"p80":579.0},{"state":"IN","n":57,"p20":215.28,"p50":334.04,"p80":469.26},{"state":"KS","n":20,"p20":243.34,"p50":489.41,"p80":772.8},{"state":"KY","n":37,"p20":194.75,"p50":355.5,"p80":621.16},{"state":"LA","n":11,"p20":136.0,"p50":194.4,"p80":360.22},{"state":"MA","n":28,"p20":248.0,"p50":497.51,"p80":669.0},{"state":"MD","n":24,"p20":126.12,"p50":173.27,"p80":478.16},{"state":"ME","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":41,"p20":150.0,"p50":241.24,"p80":411.2},{"state":"MN","n":24,"p20":64.87,"p50":246.96,"p80":426.5},{"state":"MO","n":39,"p20":262.8,"p50":386.4,"p80":564.96},{"state":"MS","n":16,"p20":102.24,"p50":155.37,"p80":269.28},{"state":"MT","n":7,"p20":null,"p50":null,"p80":null},{"state":"NC","n":34,"p20":117.6,"p50":448.0,"p80":750.13},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":19,"p20":143.4,"p50":573.0,"p80":731.25},{"state":"NH","n":18,"p20":128.06,"p50":463.24,"p80":894.5},{"state":"NJ","n":47,"p20":174.81,"p50":192.29,"p80":201.03},{"state":"NM","n":16,"p20":216.17,"p50":246.3,"p80":562.14},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":72,"p20":174.81,"p50":300.0,"p80":576.0},{"state":"OH","n":107,"p20":279.6,"p50":527.15,"p80":840.0},{"state":"OK","n":31,"p20":292.8,"p50":404.64,"p80":474.8},{"state":"OR","n":27,"p20":176.0,"p50":409.5,"p80":562.5},{"state":"PA","n":79,"p20":201.03,"p50":376.36,"p80":1009.8},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":26,"p20":314.4,"p50":434.2,"p80":550.25},{"state":"SD","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":34,"p20":149.58,"p50":220.11,"p80":314.7},{"state":"TX","n":112,"p20":185.0,"p50":330.23,"p80":625.47},{"state":"UT","n":30,"p20":219.58,"p50":258.33,"p80":258.33},{"state":"VA","n":42,"p20":220.5,"p50":237.3,"p80":373.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":32,"p20":192.8,"p50":223.38,"p80":501.82},{"state":"WI","n":57,"p20":202.5,"p50":464.75,"p80":509.6},{"state":"WV","n":22,"p20":175.0,"p50":175.0,"p80":220.5},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1240,"p20":175.0,"p50":312.0,"p80":620.75},{"key":"childrens","n":38,"p20":145.53,"p50":248.0,"p80":564.96},{"key":"critical_access","n":261,"p20":216.59,"p50":370.3,"p80":573.3}],"ownership":[{"key":"for_profit","n":162,"p20":186.03,"p50":360.0,"p80":718.74},{"key":"government","n":199,"p20":174.81,"p50":304.0,"p80":649.6},{"key":"nonprofit","n":1178,"p20":176.0,"p50":323.2,"p80":592.2}],"affiliation":[{"key":"affiliated","n":1344,"p20":175.0,"p50":316.4,"p80":619.2},{"key":"independent","n":201,"p20":187.5,"p50":360.0,"p80":600.0}]},"histogram":[{"lo":87.5,"hi":113.61,"n":25},{"lo":113.61,"hi":147.52,"n":61},{"lo":147.52,"hi":191.54,"n":182},{"lo":191.54,"hi":248.69,"n":259},{"lo":248.69,"hi":322.91,"n":170},{"lo":322.91,"hi":419.27,"n":167},{"lo":419.27,"hi":544.39,"n":223},{"lo":544.39,"hi":706.84,"n":130},{"lo":706.84,"hi":917.78,"n":112},{"lo":917.78,"hi":1191.66,"n":64}],"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":"2024-01-27","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":1281,"n_usable":1152,"n_not_usable":0,"n_labelled":83,"n_no_cash":46,"n_estimated":0,"n_states":49,"cash_p10":149.58,"cash_p20":196.31,"cash_p25":210.0,"cash_p50":361.0,"cash_p75":564.96,"cash_p80":655.2,"cash_p90":929.5,"cash_mean_trimmed":371.12,"gross_p50":615.0,"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":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":7,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":11,"p20":187.4,"p50":231.42,"p80":441.96},{"state":"CA","n":62,"p20":76.5,"p50":783.64,"p80":1209.6},{"state":"CO","n":25,"p20":210.0,"p50":368.4,"p80":627.41},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":37,"p20":248.0,"p50":456.95,"p80":1828.3},{"state":"GA","n":46,"p20":170.04,"p50":312.0,"p80":529.46},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":21,"p20":167.82,"p50":167.82,"p80":467.4},{"state":"ID","n":10,"p20":219.58,"p50":221.88,"p80":423.8},{"state":"IL","n":64,"p20":243.9,"p50":454.4,"p80":994.2},{"state":"IN","n":39,"p20":197.36,"p50":399.0,"p80":524.43},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":25,"p20":170.0,"p50":300.2,"p80":524.43},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":25,"p20":248.0,"p50":524.0,"p80":669.0},{"state":"MD","n":16,"p20":166.6,"p50":274.44,"p80":549.13},{"state":"ME","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":25,"p20":150.0,"p50":192.56,"p80":509.6},{"state":"MN","n":23,"p20":64.87,"p50":246.96,"p80":426.5},{"state":"MO","n":21,"p20":262.8,"p50":371.8,"p80":561.0},{"state":"MS","n":15,"p20":96.81,"p50":256.36,"p80":387.5},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":28,"p20":117.6,"p50":324.5,"p80":750.13},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":13,"p20":289.0,"p50":609.42,"p80":982.8},{"state":"NH","n":12,"p20":71.7,"p50":212.05,"p80":541.2},{"state":"NJ","n":19,"p20":175.0,"p50":201.03,"p80":650.1},{"state":"NM","n":13,"p20":211.4,"p50":246.3,"p80":699.0},{"state":"NV","n":7,"p20":null,"p50":null,"p80":null},{"state":"NY","n":38,"p20":307.0,"p50":507.05,"p80":761.0},{"state":"OH","n":101,"p20":293.4,"p50":527.15,"p80":900.9},{"state":"OK","n":22,"p20":288.0,"p50":404.64,"p80":474.8},{"state":"OR","n":15,"p20":223.97,"p50":531.83,"p80":562.5},{"state":"PA","n":72,"p20":201.03,"p50":450.0,"p80":1009.8},{"state":"SC","n":22,"p20":434.2,"p50":434.2,"p80":550.25},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":32,"p20":149.58,"p50":220.11,"p80":269.28},{"state":"TX","n":93,"p20":185.0,"p50":301.5,"p80":474.0},{"state":"UT","n":26,"p20":219.58,"p50":258.33,"p80":258.33},{"state":"VA","n":33,"p20":220.5,"p50":238.5,"p80":373.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":27,"p20":175.27,"p50":246.0,"p80":483.84},{"state":"WI","n":47,"p20":202.5,"p50":227.7,"p80":509.6},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":947,"p20":192.56,"p50":353.86,"p80":670.13},{"key":"childrens","n":30,"p20":180.83,"p50":293.4,"p80":564.96},{"key":"critical_access","n":169,"p20":219.58,"p50":395.4,"p80":602.18}],"ownership":[{"key":"for_profit","n":109,"p20":170.04,"p50":312.0,"p80":562.1},{"key":"government","n":122,"p20":201.03,"p50":314.4,"p80":680.4},{"key":"nonprofit","n":915,"p20":196.0,"p50":373.0,"p80":662.23}],"affiliation":[{"key":"affiliated","n":1033,"p20":197.36,"p50":371.8,"p80":688.43},{"key":"independent","n":119,"p20":170.0,"p50":306.6,"p80":576.0}]},"histogram":[{"lo":82.5,"hi":107.91,"n":16},{"lo":107.91,"hi":141.15,"n":31},{"lo":141.15,"hi":184.63,"n":87},{"lo":184.63,"hi":241.51,"n":205},{"lo":241.51,"hi":315.9,"n":143},{"lo":315.9,"hi":413.21,"n":109},{"lo":413.21,"hi":540.49,"n":186},{"lo":540.49,"hi":706.98,"n":107},{"lo":706.98,"hi":924.75,"n":92},{"lo":924.75,"hi":1209.6,"n":74}],"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"}]}