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VKORC1 Warfarin Sensitivity Gene Test

Connecticut 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 $138 · 10th–90th $89$2450%10%20%10th90th$138Professionalmedian $59 · 10th–90th $50$1950%20%10th90th$59$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$89.13
Median
$125.89
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$138.04
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$141.25
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$181.97
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$144.54