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Maple Syrup Urine Disease Gene Test

Montana 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 $141 · 10th–90th $95$2950%10%20%10th90th$141Professionalmedian $117 · 10th–90th $40$6310%10%10th90th$117$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
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$295.12
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$95.50