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VKORC1 Warfarin Sensitivity Gene Test

Nebraska 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 $209 · 10th–90th $52$4170%10%20%10th90th$209Professionalmedian $58 · 10th–90th $52$5890%20%10th90th$58$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
$61.66
Median
$234.42
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$131.83
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$257.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$83.18
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$245.47