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VKORC1 Warfarin Sensitivity Gene Test

Massachusetts 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 $174 · 10th–90th $89$2820%10%10th90th$174Professionalmedian $89 · 10th–90th $50$2190%20%40%10th90th$89$50.0$200.0$1.0K$5.0K$20.0K

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
$50.12
Median
$151.36
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$257.04
Typical High
$416.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$97.72
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$229.09
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$128.82
Typical High
$151.36
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$162.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$257.04
Typical High
$416.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$199.53