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VKORC1 Warfarin Sensitivity Gene Test

Missouri 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 $115 · 10th–90th $79$2040%10%20%10th90th$115Professionalmedian $76 · 10th–90th $35$1700%10%10th90th$76$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
$85.11
Median
$147.91
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$56.23
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$173.78
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$120.23