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VKORC1 Warfarin Sensitivity Gene Test

Idaho 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 $132 · 10th–90th $89$2750%20%10th90th$132Professionalmedian $89 · 10th–90th $62$1740%20%10th90th$89$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
$158.49
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$181.97
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$144.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$128.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$316.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$93.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$114.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13