{"procedure":{"code_type":"CPT","code":"81343","lay_name":"Genetic test for spinocerebellar ataxia type 12","blurb":"Analysis of the PPP2R2B gene to look for an abnormal repeat expansion associated with an inherited disorder of coordination and balance.","slug":"cpt-81343-genetic-test-for-spinocerebellar-ataxia-type-12","description":"PPP2R2B GEN DETC ABNOR ALLEL","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":"2026-09-23T22:20:23.317834Z","filing_date_min":"2025-11-26","filing_date_max":"2026-09-18","checked_from":"2026-09-05T11:51:45.996519Z","checked_through":"2026-09-25T01:09:30.311445Z","n_priced_setters":3956,"n_filed":273,"n_usable":266,"n_not_usable":1,"n_labelled":4,"n_no_cash":2,"n_estimated":0,"n_states":35,"cash_p10":52.8,"cash_p20":105.8,"cash_p25":107.7,"cash_p50":184.4,"cash_p75":313.6,"cash_p80":313.6,"cash_p90":417.95,"cash_mean_trimmed":200.82,"gross_p50":411.0,"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":313.6,"p50":313.6,"p80":313.6},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":191.8,"p50":276.0,"p80":316.4},{"state":"IN","n":14,"p20":171.85,"p50":198.16,"p80":281.85},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":9,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":9,"p20":null,"p50":null,"p80":null},{"state":"MN","n":8,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":11,"p20":44.0,"p50":44.0,"p80":52.8},{"state":"NJ","n":23,"p20":137.0,"p50":150.7,"p80":150.7},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":17,"p20":137.0,"p50":137.0,"p80":164.4},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":3,"p20":null,"p50":null,"p80":null},{"state":"OR","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":13,"p20":37.18,"p50":43.94,"p80":252.7},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":16,"p20":108.55,"p50":108.55,"p80":206.61},{"state":"TN","n":16,"p20":47.33,"p50":107.7,"p80":107.7},{"state":"TX","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":11,"p20":107.7,"p50":107.7,"p80":500.5},{"state":"WA","n":9,"p20":null,"p50":null,"p80":null},{"state":"WI","n":20,"p20":308.45,"p50":417.95,"p80":417.95},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":219,"p20":98.25,"p50":157.55,"p80":313.6},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":38,"p20":141.0,"p50":308.45,"p80":417.95}],"ownership":[{"key":"for_profit","n":12,"p20":null,"p50":null,"p80":null},{"key":"government","n":27,"p20":107.7,"p50":137.0,"p80":188.65},{"key":"nonprofit","n":226,"p20":105.8,"p50":191.8,"p80":313.6}],"affiliation":[{"key":"affiliated","n":237,"p20":105.8,"p50":187.0,"p80":313.6},{"key":"independent","n":29,"p20":93.75,"p50":168.3,"p80":292.8}]},"histogram":[{"lo":43.94,"hi":56.04,"n":16},{"lo":56.04,"hi":71.48,"n":13},{"lo":71.48,"hi":91.16,"n":2},{"lo":91.16,"hi":116.27,"n":38},{"lo":116.27,"hi":148.3,"n":27},{"lo":148.3,"hi":189.14,"n":31},{"lo":189.14,"hi":241.24,"n":19},{"lo":241.24,"hi":307.68,"n":29},{"lo":307.68,"hi":392.42,"n":37},{"lo":392.42,"hi":500.5,"n":31}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2025-12-15","filing_date_max":"2026-09-16","checked_from":"2026-09-05T19:43:09.506842Z","checked_through":"2026-09-25T01:09:30.311445Z","n_priced_setters":3956,"n_filed":154,"n_usable":150,"n_not_usable":0,"n_labelled":2,"n_no_cash":2,"n_estimated":0,"n_states":24,"cash_p10":51.77,"cash_p20":79.95,"cash_p25":105.8,"cash_p50":204.51,"cash_p75":313.6,"cash_p80":417.95,"cash_p90":500.5,"cash_mean_trimmed":235.88,"gross_p50":454.0,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"CA","n":19,"p20":313.6,"p50":313.6,"p80":313.6},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":5,"p20":null,"p50":null,"p80":null},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":5,"p20":null,"p50":null,"p80":null},{"state":"MN","n":8,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":2,"p20":null,"p50":null,"p80":null},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":12,"p20":37.18,"p50":40.56,"p80":252.7},{"state":"SC","n":16,"p20":108.55,"p50":108.55,"p80":206.61},{"state":"TN","n":15,"p20":41.19,"p50":107.7,"p80":107.7},{"state":"TX","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":10,"p20":105.8,"p50":107.7,"p80":500.5},{"state":"WA","n":9,"p20":null,"p50":null,"p80":null},{"state":"WI","n":13,"p20":417.95,"p50":417.95,"p80":417.95},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":125,"p20":67.32,"p50":164.4,"p80":313.6},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":20,"p20":105.8,"p50":417.95,"p80":417.95}],"ownership":[{"key":"for_profit","n":8,"p20":null,"p50":null,"p80":null},{"key":"government","n":10,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":131,"p20":104.13,"p50":240.0,"p80":417.95}],"affiliation":[{"key":"affiliated","n":138,"p20":98.25,"p50":206.61,"p80":417.95},{"key":"independent","n":12,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":39.16,"hi":51.03,"n":7},{"lo":51.03,"hi":66.5,"n":3},{"lo":66.5,"hi":86.67,"n":13},{"lo":86.67,"hi":112.94,"n":34},{"lo":112.94,"hi":147.18,"n":3},{"lo":147.18,"hi":191.81,"n":5},{"lo":191.81,"hi":249.96,"n":11},{"lo":249.96,"hi":325.74,"n":30},{"lo":325.74,"hi":424.5,"n":19},{"lo":424.5,"hi":553.2,"n":11}],"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"}]}