{"procedure":{"code_type":"CPT","code":"81443","lay_name":"Carrier gene panel for severe inherited conditions","blurb":"A laboratory test that reads the DNA sequence of a panel of genes for severe inherited conditions such as cystic fibrosis and spinal muscular atrophy; billed once for the panel.","slug":"cpt-81443-carrier-gene-panel-for-severe-inherited-conditions","description":"GENETIC TSTG SEVERE INH COND","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":"2024-03-17","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":1141,"n_usable":1029,"n_not_usable":0,"n_labelled":65,"n_no_cash":45,"n_estimated":2,"n_states":50,"cash_p10":925.6,"cash_p20":1528.32,"cash_p25":1781.07,"cash_p50":2767.95,"cash_p75":4463.97,"cash_p80":5329.65,"cash_p90":7256.6,"cash_mean_trimmed":2982.92,"gross_p50":5415.0,"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":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":10,"p20":510.0,"p50":2448.0,"p80":4651.96},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":10,"p20":2192.45,"p50":2624.86,"p80":5947.5},{"state":"CA","n":29,"p20":1669.25,"p50":5594.4,"p80":5594.4},{"state":"CO","n":23,"p20":1781.07,"p50":2693.42,"p80":3922.75},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":28,"p20":842.13,"p50":2448.56,"p80":12985.0},{"state":"GA","n":41,"p20":1783.6,"p50":1800.0,"p80":4028.7},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":2350.62,"p50":2350.62,"p80":2350.62},{"state":"ID","n":4,"p20":null,"p50":null,"p80":null},{"state":"IL","n":44,"p20":2688.0,"p50":3883.68,"p80":6329.35},{"state":"IN","n":25,"p20":2348.4,"p50":3524.33,"p80":4763.25},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":15,"p20":1104.68,"p50":1126.4,"p80":2337.38},{"state":"LA","n":18,"p20":703.5,"p50":1145.6,"p80":3000.0},{"state":"MA","n":26,"p20":3442.5,"p50":5905.37,"p80":8344.5},{"state":"MD","n":13,"p20":1891.35,"p50":2099.81,"p80":3283.0},{"state":"ME","n":8,"p20":null,"p50":null,"p80":null},{"state":"MI","n":15,"p20":2448.0,"p50":4445.6,"p80":6488.8},{"state":"MN","n":37,"p20":739.25,"p50":925.6,"p80":1945.79},{"state":"MO","n":20,"p20":1850.88,"p50":3673.2,"p80":3928.89},{"state":"MS","n":8,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":30,"p20":2017.04,"p50":2805.04,"p80":5329.65},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":42,"p20":663.0,"p50":2693.42,"p80":2815.84},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":48,"p20":2448.56,"p50":3236.0,"p80":6776.2},{"state":"OH","n":89,"p20":1923.0,"p50":3978.65,"p80":6627.0},{"state":"OK","n":22,"p20":1083.0,"p50":1358.64,"p80":1711.68},{"state":"OR","n":9,"p20":null,"p50":null,"p80":null},{"state":"PA","n":59,"p20":1352.4,"p50":3672.6,"p80":9394.72},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":12,"p20":4100.2,"p50":4100.2,"p80":4100.2},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":18,"p20":1955.48,"p50":3142.35,"p80":3142.35},{"state":"TX","n":80,"p20":1350.0,"p50":2250.0,"p80":2468.48},{"state":"UT","n":26,"p20":1418.93,"p50":1669.34,"p80":1669.34},{"state":"VA","n":39,"p20":2349.5,"p50":3142.35,"p80":6981.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":21,"p20":2697.2,"p50":3654.15,"p80":4413.6},{"state":"WI","n":65,"p20":1870.0,"p50":4582.2,"p80":7256.6},{"state":"WV","n":19,"p20":510.5,"p50":510.5,"p80":3101.0},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":837,"p20":1619.8,"p50":2734.86,"p80":5329.65},{"key":"childrens","n":28,"p20":669.12,"p50":1895.89,"p80":5288.25},{"key":"critical_access","n":157,"p20":1418.93,"p50":3083.61,"p80":5554.02}],"ownership":[{"key":"for_profit","n":69,"p20":1800.0,"p50":3106.0,"p80":6579.0},{"key":"government","n":128,"p20":1500.0,"p50":2448.56,"p80":4671.86},{"key":"nonprofit","n":825,"p20":1429.8,"p50":2767.95,"p80":5551.0}],"affiliation":[{"key":"affiliated","n":924,"p20":1575.0,"p50":2755.0,"p80":5509.5},{"key":"independent","n":105,"p20":1406.0,"p50":2774.75,"p80":4445.6}]},"histogram":[{"lo":615.0,"hi":815.09,"n":41},{"lo":815.09,"hi":1080.27,"n":26},{"lo":1080.27,"hi":1431.73,"n":80},{"lo":1431.73,"hi":1897.54,"n":112},{"lo":1897.54,"hi":2514.89,"n":153},{"lo":2514.89,"hi":3333.09,"n":142},{"lo":3333.09,"hi":4417.49,"n":165},{"lo":4417.49,"hi":5854.7,"n":92},{"lo":5854.7,"hi":7759.49,"n":80},{"lo":7759.49,"hi":10284.0,"n":36}],"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":"2024-03-17","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":860,"n_usable":783,"n_not_usable":0,"n_labelled":44,"n_no_cash":33,"n_estimated":0,"n_states":47,"cash_p10":1055.25,"cash_p20":1669.34,"cash_p25":1800.0,"cash_p50":3009.6,"cash_p75":5329.65,"cash_p80":5716.2,"cash_p90":7832.0,"cash_mean_trimmed":3182.12,"gross_p50":5933.0,"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":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":26,"p20":3735.0,"p50":5594.4,"p80":5594.4},{"state":"CO","n":18,"p20":1781.07,"p50":2693.42,"p80":4060.0},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":12,"p20":2720.25,"p50":8569.96,"p80":37793.52},{"state":"GA","n":37,"p20":1800.0,"p50":1800.0,"p80":4028.7},{"state":"IA","n":11,"p20":2350.62,"p50":2350.62,"p80":2350.62},{"state":"ID","n":3,"p20":null,"p50":null,"p80":null},{"state":"IL","n":42,"p20":2755.0,"p50":5493.6,"p80":7116.0},{"state":"IN","n":10,"p20":1940.4,"p50":2348.4,"p80":3244.13},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":8,"p20":null,"p50":null,"p80":null},{"state":"LA","n":12,"p20":703.5,"p50":1055.25,"p80":2750.4},{"state":"MA","n":22,"p20":3470.0,"p50":7133.0,"p80":8344.5},{"state":"MD","n":6,"p20":null,"p50":null,"p80":null},{"state":"ME","n":8,"p20":null,"p50":null,"p80":null},{"state":"MI","n":9,"p20":null,"p50":null,"p80":null},{"state":"MN","n":30,"p20":739.25,"p50":915.2,"p80":1945.79},{"state":"MO","n":18,"p20":3672.6,"p50":3673.2,"p80":3928.89},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":28,"p20":2017.04,"p50":2805.04,"p80":5329.65},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":17,"p20":184.0,"p50":2815.84,"p80":4897.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":2938.27,"p50":4774.69,"p80":7645.59},{"state":"OH","n":84,"p20":1923.0,"p50":3978.65,"p80":6627.0},{"state":"OK","n":14,"p20":1083.0,"p50":1083.0,"p80":1711.68},{"state":"OR","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":52,"p20":1352.4,"p50":3739.8,"p80":9727.6},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":12,"p20":4100.2,"p50":4100.2,"p80":4100.2},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":16,"p20":1955.48,"p50":3142.35,"p80":3142.35},{"state":"TX","n":74,"p20":1350.0,"p50":2250.0,"p80":2458.8},{"state":"UT","n":25,"p20":1418.93,"p50":1669.34,"p80":1669.34},{"state":"VA","n":38,"p20":2349.5,"p50":3083.61,"p80":6981.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":16,"p20":3371.6,"p50":3371.6,"p80":4544.8},{"state":"WI","n":57,"p20":1870.0,"p50":3915.78,"p80":7256.6},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":647,"p20":1711.68,"p50":2938.27,"p80":5594.4},{"key":"childrens","n":21,"p20":669.12,"p50":3371.6,"p80":5288.25},{"key":"critical_access","n":108,"p20":1418.93,"p50":2910.0,"p80":7256.6}],"ownership":[{"key":"for_profit","n":52,"p20":1758.56,"p50":2250.0,"p80":6627.0},{"key":"government","n":72,"p20":1736.42,"p50":2805.04,"p80":5329.65},{"key":"nonprofit","n":652,"p20":1669.34,"p50":3018.4,"p80":5950.0}],"affiliation":[{"key":"affiliated","n":722,"p20":1669.34,"p50":3083.61,"p80":5947.5},{"key":"independent","n":61,"p20":1525.7,"p50":2575.0,"p80":4445.6}]},"histogram":[{"lo":739.25,"hi":964.34,"n":37},{"lo":964.34,"hi":1257.96,"n":29},{"lo":1257.96,"hi":1640.99,"n":48},{"lo":1640.99,"hi":2140.64,"n":112},{"lo":2140.64,"hi":2792.42,"n":104},{"lo":2792.42,"hi":3642.66,"n":77},{"lo":3642.66,"hi":4751.78,"n":122},{"lo":4751.78,"hi":6198.61,"n":74},{"lo":6198.61,"hi":8085.97,"n":68},{"lo":8085.97,"hi":10548.0,"n":38}],"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"}]}