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Illinois rates for HCPCS 81355

VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T)

Facilitymedian $151 · 10th–90th $87–$2630%10%20%10th90th$151Professionalmedian $74 · 10th–90th $49–$1510%20%40%10th90th$74$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $147.91 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $74.13 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $309.03 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $190.55 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $107.15 / $147.91
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $186.21 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $52.48 / $89.13