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Maple Syrup Urine Disease Gene Test

South Dakota 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 $182 · 10th–90th $107$1820%50%10th$182Professionalmedian $126 · 10th–90th $63$2290%10%10th90th$126$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
$66.07
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$478.63
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50