I'm not sure what I think of this website (in link) but it does mention MMA, and some other tests too. I did a quick search for cost of an MMA test in the U.S. without a doctor's note and it was about $100. The homocysteine one was about half that, so if you are concerned and absolutely can't get an order for the MMA, maybe you could try asking about the other one, as another option.