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VKORC1 Warfarin Sensitivity Gene Test

Illinois 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 $138 · 10th–90th $72$2400%20%10th90th$138Professionalmedian $74 · 10th–90th $50$1780%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
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$309.03
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$186.21
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$109.65
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$186.21
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$89.13