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Maple Syrup Urine Disease Gene Test

Hawaii 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 $93 · 10th–90th $78$1150%20%40%10th90th$93Professionalmedian $141 · 10th–90th $105$1740%20%10th90th$141$50.0$100.0$200.0

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
$77.62
Median
$93.33
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
HMSA
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$114.82
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$114.82
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$213.80