{"procedure":{"code_type":"CPT","code":"81405","lay_name":"Genetic test, moderate complexity (level 6)","blurb":"A gene or DNA analysis billed at molecular pathology level 6, a tier that groups tests of similar analytic complexity; one unit is one such test on one specimen.","slug":"cpt-81405-genetic-test-moderate-complexity-level-6","description":"MOPATH PROCEDURE LEVEL 6","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":"2024-01-24","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":1887,"n_usable":1653,"n_not_usable":1,"n_labelled":174,"n_no_cash":59,"n_estimated":0,"n_states":49,"cash_p10":121.58,"cash_p20":211.66,"cash_p25":254.55,"cash_p50":519.0,"cash_p75":1004.0,"cash_p80":1204.8,"cash_p90":1830.6,"cash_mean_trimmed":576.7,"gross_p50":981.0,"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":7,"p20":null,"p50":null,"p80":null},{"state":"AL","n":12,"p20":288.0,"p50":486.3,"p80":861.59},{"state":"AR","n":19,"p20":54.4,"p50":269.1,"p80":747.5},{"state":"AZ","n":15,"p20":323.05,"p50":925.92,"p80":2342.25},{"state":"CA","n":50,"p20":125.0,"p50":474.19,"p80":627.2},{"state":"CO","n":31,"p20":98.23,"p50":375.5,"p80":770.1},{"state":"CT","n":12,"p20":161.4,"p50":441.96,"p80":596.2},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":61,"p20":91.2,"p50":268.0,"p80":806.65},{"state":"GA","n":57,"p20":359.51,"p50":430.92,"p80":1111.5},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":289.3,"p50":289.3,"p80":840.0},{"state":"ID","n":16,"p20":664.62,"p50":827.45,"p80":833.34},{"state":"IL","n":84,"p20":250.0,"p50":645.0,"p80":1738.4},{"state":"IN","n":57,"p20":115.68,"p50":382.12,"p80":877.8},{"state":"KS","n":25,"p20":393.75,"p50":1102.8,"p80":1746.36},{"state":"KY","n":35,"p20":193.49,"p50":257.9,"p80":1323.0},{"state":"LA","n":33,"p20":90.0,"p50":252.8,"p80":659.0},{"state":"MA","n":37,"p20":230.0,"p50":506.1,"p80":1254.0},{"state":"MD","n":27,"p20":280.58,"p50":390.01,"p80":1142.44},{"state":"ME","n":18,"p20":201.6,"p50":374.34,"p80":879.7},{"state":"MI","n":50,"p20":301.0,"p50":556.4,"p80":883.58},{"state":"MN","n":25,"p20":229.77,"p50":741.3,"p80":991.0},{"state":"MO","n":49,"p20":275.6,"p50":506.0,"p80":1188.6},{"state":"MS","n":24,"p20":120.54,"p50":375.6,"p80":836.36},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":44,"p20":155.63,"p50":210.0,"p80":598.64},{"state":"ND","n":10,"p20":532.0,"p50":915.82,"p80":1114.47},{"state":"NE","n":14,"p20":244.8,"p50":325.0,"p80":723.0},{"state":"NH","n":10,"p20":358.53,"p50":475.8,"p80":1476.6},{"state":"NJ","n":41,"p20":331.49,"p50":346.55,"p80":546.6},{"state":"NM","n":8,"p20":null,"p50":null,"p80":null},{"state":"NV","n":12,"p20":273.54,"p50":348.6,"p80":843.5},{"state":"NY","n":75,"p20":301.35,"p50":529.0,"p80":1305.08},{"state":"OH","n":114,"p20":379.84,"p50":1134.75,"p80":1405.9},{"state":"OK","n":41,"p20":336.0,"p50":722.2,"p80":904.05},{"state":"OR","n":20,"p20":198.91,"p50":241.6,"p80":845.6},{"state":"PA","n":72,"p20":235.04,"p50":468.01,"p80":1122.0},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":33,"p20":569.4,"p50":861.25,"p80":1846.71},{"state":"TN","n":32,"p20":110.0,"p50":254.55,"p80":636.6},{"state":"TX","n":124,"p20":67.5,"p50":314.4,"p80":1333.5},{"state":"UT","n":32,"p20":640.2,"p50":3573.52,"p80":4204.14},{"state":"VA","n":47,"p20":395.5,"p50":645.0,"p80":1545.5},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":36,"p20":394.1,"p50":685.75,"p80":889.0},{"state":"WI","n":69,"p20":182.5,"p50":850.81,"p80":1378.65},{"state":"WV","n":22,"p20":126.0,"p50":126.0,"p80":660.0},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1311,"p20":206.84,"p50":457.5,"p80":1155.0},{"key":"childrens","n":38,"p20":68.34,"p50":313.06,"p80":684.96},{"key":"critical_access","n":298,"p20":306.6,"p50":783.55,"p80":1404.65}],"ownership":[{"key":"for_profit","n":190,"p20":228.8,"p50":575.7,"p80":1427.3},{"key":"government","n":213,"p20":177.52,"p50":399.96,"p80":1048.89},{"key":"nonprofit","n":1244,"p20":214.5,"p50":529.98,"p80":1242.87}],"affiliation":[{"key":"affiliated","n":1410,"p20":211.2,"p50":529.98,"p80":1265.0},{"key":"independent","n":243,"p20":211.9,"p50":427.2,"p80":1000.0}]},"histogram":[{"lo":78.0,"hi":112.06,"n":66},{"lo":112.06,"hi":161.01,"n":85},{"lo":161.01,"hi":231.32,"n":121},{"lo":231.32,"hi":332.34,"n":197},{"lo":332.34,"hi":477.49,"n":249},{"lo":477.49,"hi":686.02,"n":208},{"lo":686.02,"hi":985.62,"n":211},{"lo":985.62,"hi":1416.06,"n":194},{"lo":1416.06,"hi":2034.49,"n":107},{"lo":2034.49,"hi":2923.0,"n":51}],"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":"2024-01-24","filing_date_max":"2026-09-17","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":1392,"n_usable":1193,"n_not_usable":0,"n_labelled":137,"n_no_cash":62,"n_estimated":0,"n_states":47,"cash_p10":117.12,"cash_p20":243.1,"cash_p25":283.92,"cash_p50":564.6,"cash_p75":1102.8,"cash_p80":1305.08,"cash_p90":1822.8,"cash_mean_trimmed":616.39,"gross_p50":1001.24,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":13,"p20":323.05,"p50":1388.88,"p80":2342.25},{"state":"CA","n":38,"p20":195.04,"p50":627.2,"p80":627.2},{"state":"CO","n":21,"p20":84.2,"p50":126.41,"p80":459.33},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":35,"p20":91.2,"p50":509.6,"p80":882.9},{"state":"GA","n":44,"p20":359.51,"p50":430.92,"p80":829.5},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":289.3,"p50":289.3,"p80":560.7},{"state":"ID","n":11,"p20":827.45,"p50":833.34,"p80":833.34},{"state":"IL","n":69,"p20":289.3,"p50":551.0,"p80":1680.0},{"state":"IN","n":36,"p20":207.6,"p50":462.85,"p80":968.55},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":26,"p20":213.29,"p50":542.27,"p80":1983.52},{"state":"LA","n":22,"p20":82.5,"p50":135.0,"p80":773.47},{"state":"MA","n":31,"p20":236.0,"p50":506.1,"p80":1203.2},{"state":"MD","n":19,"p20":297.38,"p50":519.4,"p80":1204.87},{"state":"ME","n":15,"p20":201.6,"p50":374.34,"p80":783.55},{"state":"MI","n":38,"p20":193.0,"p50":642.0,"p80":883.58},{"state":"MN","n":22,"p20":500.12,"p50":741.3,"p80":991.0},{"state":"MO","n":28,"p20":243.1,"p50":452.4,"p80":1102.8},{"state":"MS","n":17,"p20":124.95,"p50":357.42,"p80":906.05},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":27,"p20":155.63,"p50":272.7,"p80":598.64},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":20,"p20":346.55,"p50":346.55,"p80":592.36},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":7,"p20":null,"p50":null,"p80":null},{"state":"NY","n":42,"p20":396.0,"p50":627.3,"p80":1313.0},{"state":"OH","n":109,"p20":379.84,"p50":1134.75,"p80":1405.9},{"state":"OK","n":28,"p20":264.6,"p50":429.2,"p80":743.04},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":67,"p20":346.55,"p50":738.5,"p80":1234.0},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":29,"p20":569.4,"p50":861.25,"p80":1846.71},{"state":"TN","n":27,"p20":110.0,"p50":254.55,"p80":300.15},{"state":"TX","n":101,"p20":67.5,"p50":312.57,"p80":1079.6},{"state":"UT","n":26,"p20":3573.52,"p50":3573.52,"p80":4204.14},{"state":"VA","n":39,"p20":395.5,"p50":914.1,"p80":1545.5},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":27,"p20":193.2,"p50":673.6,"p80":834.72},{"state":"WI","n":62,"p20":182.5,"p50":801.35,"p80":1378.65},{"state":"WV","n":6,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":984,"p20":229.45,"p50":519.0,"p80":1204.87},{"key":"childrens","n":28,"p20":68.34,"p50":314.6,"p80":684.96},{"key":"critical_access","n":174,"p20":378.0,"p50":883.58,"p80":1506.25}],"ownership":[{"key":"for_profit","n":117,"p20":170.0,"p50":457.5,"p80":1333.5},{"key":"government","n":120,"p20":155.63,"p50":380.1,"p80":991.0},{"key":"nonprofit","n":949,"p20":252.6,"p50":618.75,"p80":1323.0}],"affiliation":[{"key":"affiliated","n":1054,"p20":250.0,"p50":604.2,"p80":1323.0},{"key":"independent","n":139,"p20":163.5,"p50":379.8,"p80":845.6}]},"histogram":[{"lo":67.5,"hi":97.41,"n":65},{"lo":97.41,"hi":140.57,"n":41},{"lo":140.57,"hi":202.85,"n":67},{"lo":202.85,"hi":292.73,"n":107},{"lo":292.73,"hi":422.44,"n":153},{"lo":422.44,"hi":609.62,"n":153},{"lo":609.62,"hi":879.73,"n":186},{"lo":879.73,"hi":1269.53,"n":138},{"lo":1269.53,"hi":1832.04,"n":129},{"lo":1832.04,"hi":2643.79,"n":57}],"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"}]}