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VKORC1 Warfarin Sensitivity Gene Test

Kentucky 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 $89 · 10th–90th $69$2140%20%10th90th$89Professionalmedian $59 · 10th–90th $52$930%20%40%10th90th$59$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
$69.18
Median
$72.44
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$70.79
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$58.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$165.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$165.96
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$89.13