{"procedure":{"code_type":"CPT","code":"87475","lay_name":"DNA probe test for Lyme disease bacteria","blurb":"Molecular test that looks for genetic material of the bacteria that cause Lyme disease using a direct probe method, without amplification.","slug":"cpt-87475-dna-probe-test-for-lyme-disease-bacteria","description":"LYME DIS DNA DIR PROBE","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"206","label":"Microscopic examination (bacterial smear, culture, toxicology)","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2025-12-02","filing_date_max":"2026-09-22","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:05:50.973703Z","n_priced_setters":3956,"n_filed":164,"n_usable":157,"n_not_usable":1,"n_labelled":3,"n_no_cash":3,"n_estimated":0,"n_states":25,"cash_p10":20.0,"cash_p20":20.05,"cash_p25":20.05,"cash_p50":35.7,"cash_p75":115.7,"cash_p80":115.7,"cash_p90":203.28,"cash_mean_trimmed":47.57,"gross_p50":134.0,"cash_to_gross_p50":0.59,"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":21,"p20":203.28,"p50":203.28,"p80":203.28},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":50.4,"p50":50.4,"p80":50.4},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":23.8,"p50":27.67,"p80":115.7},{"state":"NJ","n":25,"p20":20.05,"p50":22.06,"p80":22.06},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":15,"p20":20.05,"p50":20.05,"p80":20.5},{"state":"OH","n":1,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":35.7,"p50":35.7,"p80":35.7},{"state":"PA","n":14,"p20":13.2,"p50":14.4,"p80":20.0},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":12,"p20":115.7,"p50":115.7,"p80":115.7},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":142,"p20":20.05,"p50":30.08,"p80":115.7},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":14,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":18,"p20":null,"p50":null,"p80":null},{"key":"government","n":13,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":126,"p20":20.05,"p50":35.7,"p80":115.7}],"affiliation":[{"key":"affiliated","n":139,"p20":20.05,"p50":35.7,"p80":115.7},{"key":"independent","n":18,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":14.4,"hi":18.76,"n":3},{"lo":18.76,"hi":24.45,"n":49},{"lo":24.45,"hi":31.86,"n":16},{"lo":31.86,"hi":41.52,"n":12},{"lo":41.52,"hi":54.1,"n":16},{"lo":54.1,"hi":70.5,"n":7},{"lo":70.5,"hi":91.87,"n":4},{"lo":91.87,"hi":119.71,"n":18},{"lo":119.71,"hi":156.0,"n":1},{"lo":156.0,"hi":203.28,"n":19}],"previous":null},"inpatient":null},"related":[{"code_type":"CPT","code":"87040","lay_name":"Blood culture for bacteria","slug":"cpt-87040-blood-culture-for-bacteria"},{"code_type":"CPT","code":"87070","lay_name":"Bacterial culture, other body site, with identification","slug":"cpt-87070-bacterial-culture-other-body-site-with-identification"},{"code_type":"CPT","code":"87205","lay_name":"Slide smear with Gram or similar stain, with interpretation","slug":"cpt-87205-slide-smear-with-gram-or-similar-stain-with-interpretation"},{"code_type":"CPT","code":"87186","lay_name":"Antibiotic sensitivity testing panel, per plate","slug":"cpt-87186-antibiotic-sensitivity-testing-panel-per-plate"},{"code_type":"CPT","code":"82043","lay_name":"Urine albumin test (microalbumin), measured amount","slug":"cpt-82043-urine-albumin-test-microalbumin-measured-amount"},{"code_type":"CPT","code":"87491","lay_name":"Chlamydia DNA test using amplification","slug":"cpt-87491-chlamydia-dna-test-using-amplification"},{"code_type":"CPT","code":"87077","lay_name":"Full identification of a cultured bacterium, each organism","slug":"cpt-87077-full-identification-of-a-cultured-bacterium-each-organism"},{"code_type":"CPT","code":"87081","lay_name":"Screening culture for one type of disease-causing bacteria","slug":"cpt-87081-screening-culture-for-one-type-of-disease-causing-bacteria"},{"code_type":"CPT","code":"87340","lay_name":"Hepatitis B surface antigen blood test","slug":"cpt-87340-hepatitis-b-surface-antigen-blood-test"},{"code_type":"CPT","code":"87798","lay_name":"Genetic test for an unlisted germ, amplified method","slug":"cpt-87798-genetic-test-for-an-unlisted-germ-amplified-method"},{"code_type":"CPT","code":"81001","lay_name":"Urine test with automated dipstick and microscope exam","slug":"cpt-81001-urine-test-with-automated-dipstick-and-microscope-exam"},{"code_type":"CPT","code":"87591","lay_name":"Gonorrhea test by DNA amplification","slug":"cpt-87591-gonorrhea-test-by-dna-amplification"}]}