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VKORC1 Warfarin Sensitivity Gene Test

Kansas 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 $85$2040%10%20%10th90th$132Professionalmedian $85 · 10th–90th $52$1100%10%20%10th90th$85$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
$91.20
Median
$154.88
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$162.18
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$131.83