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Maple Syrup Urine Disease Gene Test

Florida rates for HCPCS 81205

A genetic test that looks for the common inherited changes in a gene needed to break down certain protein building blocks. Faults in it cause maple syrup urine disease, in which those building blocks build up and can make a baby seriously ill within days of birth; the name comes from the sweet smell of the urine. Only the frequently seen changes are checked, not the whole gene.

Rates data updated July 2026.

Facilitymedian $174 · 10th–90th $68$4680%10%10th90th$174Professionalmedian $74 · 10th–90th $54$1380%20%10th90th$74$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$173.78
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$138.04
AvMed
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$95.50
Typical High
$112.20
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$53.70
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$169.82
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$40.74
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$95.50