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Illinois rates for HCPCS 81205

BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X)

Facilitymedian $166 · 10th–90th $95–$2880%10%10th90th$166Professionalmedian $78 · 10th–90th $4–$1450%20%10th90th$78$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $165.96 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $331.13 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $66.07 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $204.17 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $114.82 / $162.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $147.91 / $239.88
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $95.50