{"procedure":{"code_type":"CPT","code":"87560","lay_name":"Mycobacterium avium complex test, direct probe","blurb":"A laboratory test that looks for genetic material of Mycobacterium avium-intracellulare in a sample using a direct probe, without amplification.","slug":"cpt-87560-mycobacterium-avium-complex-test-direct-probe","description":"M.AVIUM-INTRA DNA DIR PROB","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":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:05:50.973703Z","n_priced_setters":3956,"n_filed":361,"n_usable":337,"n_not_usable":1,"n_labelled":21,"n_no_cash":2,"n_estimated":0,"n_states":38,"cash_p10":27.0,"cash_p20":30.02,"cash_p25":32.75,"cash_p50":64.2,"cash_p75":149.52,"cash_p80":162.0,"cash_p90":256.51,"cash_mean_trimmed":82.85,"gross_p50":145.0,"cash_to_gross_p50":0.65,"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":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":30,"p20":116.8,"p50":149.52,"p80":149.52},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":26,"p20":57.2,"p50":156.0,"p80":247.51},{"state":"GA","n":11,"p20":42.75,"p50":42.75,"p80":333.75},{"state":"HI","n":12,"p20":127.2,"p50":135.0,"p80":266.68},{"state":"IA","n":14,"p20":58.4,"p50":58.4,"p80":181.35},{"state":"IL","n":12,"p20":27.3,"p50":57.64,"p80":96.0},{"state":"IN","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":11,"p20":250.59,"p50":317.43,"p80":352.42},{"state":"MI","n":13,"p20":27.0,"p50":37.66,"p80":168.75},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":11,"p20":228.5,"p50":228.5,"p80":243.0},{"state":"NE","n":7,"p20":null,"p50":null,"p80":null},{"state":"NH","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":27.29,"p50":30.02,"p80":30.02},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":31,"p20":27.29,"p50":36.5,"p80":80.0},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":13,"p20":48.3,"p50":48.3,"p80":58.46},{"state":"PA","n":28,"p20":18.86,"p50":31.38,"p80":109.2},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":9,"p20":null,"p50":null,"p80":null},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":18,"p20":53.5,"p50":62.3,"p80":157.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":294,"p20":29.0,"p50":58.85,"p80":183.38},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":38,"p20":57.97,"p50":77.4,"p80":149.5}],"ownership":[{"key":"for_profit","n":59,"p20":27.3,"p50":88.25,"p80":247.51},{"key":"government","n":34,"p20":27.29,"p50":91.5,"p80":156.0},{"key":"nonprofit","n":244,"p20":30.02,"p50":62.3,"p80":153.9}],"affiliation":[{"key":"affiliated","n":302,"p20":30.02,"p50":63.68,"p80":183.38},{"key":"independent","n":35,"p20":31.38,"p50":64.81,"p80":98.06}]},"histogram":[{"lo":21.71,"hi":28.69,"n":47},{"lo":28.69,"hi":37.91,"n":30},{"lo":37.91,"hi":50.09,"n":29},{"lo":50.09,"hi":66.19,"n":49},{"lo":66.19,"hi":87.47,"n":28},{"lo":87.47,"hi":115.58,"n":12},{"lo":115.58,"hi":152.74,"n":47},{"lo":152.74,"hi":201.83,"n":28},{"lo":201.83,"hi":266.7,"n":22},{"lo":266.7,"hi":352.42,"n":15}],"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":"2024-07-01","filing_date_max":"2026-09-15","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:05:50.973703Z","n_priced_setters":3956,"n_filed":181,"n_usable":168,"n_not_usable":0,"n_labelled":10,"n_no_cash":3,"n_estimated":0,"n_states":29,"cash_p10":32.75,"cash_p20":48.3,"cash_p25":48.3,"cash_p50":90.3,"cash_p75":149.52,"cash_p80":157.0,"cash_p90":240.0,"cash_mean_trimmed":101.2,"gross_p50":125.0,"cash_to_gross_p50":0.7,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"CA","n":28,"p20":149.52,"p50":149.52,"p80":149.52},{"state":"CT","n":1,"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":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":58.4,"p50":58.4,"p80":58.4},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":6,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":14,"p20":36.5,"p50":68.37,"p80":85.5},{"state":"OH","n":2,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":48.3,"p50":48.3,"p80":48.3},{"state":"PA","n":16,"p20":48.0,"p50":87.36,"p80":201.0},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"p20":null,"p50":null,"p80":null},{"state":"VA","n":12,"p20":53.5,"p50":121.8,"p80":157.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":146,"p20":48.0,"p50":87.36,"p80":157.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":17,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":22,"p20":27.3,"p50":82.0,"p80":168.75},{"key":"government","n":22,"p20":57.6,"p50":116.0,"p80":175.0},{"key":"nonprofit","n":124,"p20":48.3,"p50":83.13,"p80":157.0}],"affiliation":[{"key":"affiliated","n":147,"p20":48.3,"p50":97.0,"p80":157.0},{"key":"independent","n":21,"p20":40.94,"p50":73.7,"p80":146.4}]},"histogram":[{"lo":25.85,"hi":33.77,"n":10},{"lo":33.77,"hi":44.11,"n":11},{"lo":44.11,"hi":57.62,"n":21},{"lo":57.62,"hi":75.27,"n":21},{"lo":75.27,"hi":98.33,"n":17},{"lo":98.33,"hi":128.44,"n":12},{"lo":128.44,"hi":167.78,"n":38},{"lo":167.78,"hi":219.17,"n":13},{"lo":219.17,"hi":286.31,"n":3},{"lo":286.31,"hi":374.0,"n":6}],"previous":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"}]}