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VKORC1 Warfarin Sensitivity Gene Test

Montana 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 $132 · 10th–90th $89$2690%10%20%10th90th$132Professionalmedian $110 · 10th–90th $37$5890%20%10th90th$110$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
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$269.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13