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Pennsylvania 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 $245 · 10th–90th $93$3980%10%20%10th90th$245Professionalmedian $79 · 10th–90th $68$2820%20%40%10th90th$79$50.0$200.0$1.0K$5.0K$20.0K

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
$100.00 / $245.47 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $79.43 / $281.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $457.09 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $154.88 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $102.33 / $213.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $85.11 / $128.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $158.49 / $239.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $275.42 / $323.59
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $79.43 / $138.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $95.50 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $125.89