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New Jersey rates for HCPCS 81205

BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X)

Facilitymedian $209 · 10th–90th $120–$9550%10%20%10th90th$209Professionalmedian $89 · 10th–90th $56–$1380%20%10th90th$89$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $302.00 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $208.93 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $102.33 / $208.93
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $181.97
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $95.50 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $102.33