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Maple Syrup Urine Disease Gene Test

New Hampshire 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 $240 · 10th–90th $132$5500%10%20%10th90th$240Professionalmedian $95 · 10th–90th $62$1780%20%10th90th$95$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
$131.83
Median
$239.88
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$138.04
Typical High
$138.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$346.74
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$398.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$263.03