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Maple Syrup Urine Disease Gene Test

Nebraska 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 $224 · 10th–90th $58$4470%10%20%10th90th$224Professionalmedian $63 · 10th–90th $58$6310%20%10th90th$63$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
$67.61
Median
$251.19
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$141.25
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$275.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$91.20
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$263.03