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VKORC1 Warfarin Sensitivity Gene Test

Michigan 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 $83 · 10th–90th $83$1550%50%90th$83Professionalmedian $72 · 10th–90th $50$1050%10%20%10th90th$72$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
$83.18
Median
$83.18
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$89.13
Typical High
$134.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$251.19
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$134.90
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$89.13