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VKORC1 Warfarin Sensitivity Gene Test

Hawaii 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 $87 · 10th–90th $72$1050%20%40%10th90th$87Professionalmedian $112 · 10th–90th $89$1550%20%10th90th$112$50.0$100.0$200.0

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
$72.44
Median
$87.10
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
HMSA
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$89.13
Typical High
$104.71
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$138.04
Typical High
$199.53