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Maple Syrup Urine Disease Gene Test

Iowa 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 $148 · 10th–90th $72$2750%10%20%10th90th$148Professionalmedian $83 · 10th–90th $58$6310%10%10th90th$83$10.0$20.0$50.0$100.0$200.0$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
$72.44
Median
$194.98
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$371.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$125.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50