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VKORC1 Warfarin Sensitivity Gene Test

Arizona rates for HCPCS 81355

A genetic test that checks for the common changes in the VKORC1 gene, which affects how strongly a person responds to the blood thinner warfarin. People carrying certain versions need a lower or a higher dose to reach a safe level of blood thinning. A blood or saliva sample is used.

Rates data updated July 2026.

Facilitymedian $214 · 10th–90th $65$3980%10%20%10th90th$214Professionalmedian $59 · 10th–90th $37$1020%20%40%10th90th$59$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$104.71
Median
$309.03
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$251.19
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$85.11
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13