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Maple Syrup Urine Disease Gene Test

Michigan 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 $91 · 10th–90th $85$1660%50%10th90th$91Professionalmedian $89 · 10th–90th $68$1260%20%10th90th$89$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
$91.20
Median
$91.20
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$95.50
Typical High
$131.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$128.82
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$109.65
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$95.50