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Maple Syrup Urine Disease Gene Test

Wisconsin 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 $263 · 10th–90th $105$4470%20%10th90th$263Professionalmedian $115 · 10th–90th $38$3310%10%20%10th90th$115$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
$114.82
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$229.09
Typical High
$295.12
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$398.11
Typical High
$602.56
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$95.50
Network Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$275.42
Network Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$269.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$281.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$316.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$446.68
Quartz
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$478.63
Typical High
$478.63
Security Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Security Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$512.86
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$75.86
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$158.49