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Maple Syrup Urine Disease Gene Test

Maine 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 $155 · 10th–90th $95$6170%20%40%10th90th$155Professionalmedian $95 · 10th–90th $58$1150%50%10th90th$95$50.0$100.0$200.0$500.0$1.0K

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
$95.50
Median
$95.50
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$616.60
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$95.50
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$114.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$426.58
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$144.54