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VKORC1 Warfarin Sensitivity Gene Test

Maine 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 October 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$70.79

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $70.79 for this service. Most negotiated rates run $52.48 to $110.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $117 · 10th to 90th $85 to $407Professionalmedian $58 · 10th to 90th $45 to $129
$50$100$200$500facility $117professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$117.49
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$52.48
Typical High
$57.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$89.13
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$89.13
Typical High
$154.88
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$154.88

Where Maine sits

The same service costs 3.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 39th of 51

$70.79

AK $200FL $52.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.