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VKORC1 Warfarin Sensitivity Gene Test

Iowa 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 $135 · 10th–90th $68$2570%10%20%10th90th$135Professionalmedian $76 · 10th–90th $52$5890%10%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0

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
$67.61
Median
$181.97
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$104.71
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$117.49
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13