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Wisconsin 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.99 / $142.49 / $211.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $90.24 / $144.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.23 / $246.97 / $261.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $94.99 / $406.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.14 / $232.14 / $241.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.32 / $305.38 / $468.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $255.79 / $290.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.14 / $113.99 / $332.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.49 / $113.99 / $332.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $56.99 / $292.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $94.99
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.14 / $113.99 / $332.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.71 / $231.91 / $318.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.13 / $451.20 / $451.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.74 / $474.95 / $474.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.29 / $202.29 / $202.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.06 / $518.65 / $518.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $56.99 / $233.98