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Maple Syrup Urine Disease Gene Test

West Virginia 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 $117 · 10th–90th $78$1860%20%10th90th$117Professionalmedian $76 · 10th–90th $63$810%20%40%10th90th$76$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
$77.62
Median
$117.49
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$81.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$229.09
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$104.71