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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 July 2026.

Facilitymedian $141 · 10th–90th $89$4170%20%10th90th$141Professionalmedian $89 · 10th–90th $52$980%50%10th90th$89$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
$89.13
Median
$89.13
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$416.87
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$104.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$398.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$134.90