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VKORC1 Warfarin Sensitivity Gene Test

Georgia 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 $100 · 10th–90th $59$1620%20%10th90th$100Professionalmedian $69 · 10th–90th $35$1550%20%10th90th$69$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$58.88
Median
$81.28
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$35.48
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$144.54
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$89.13
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$691.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$114.82