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VKORC1 Warfarin Sensitivity Gene Test

New Jersey 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 $257 · 10th–90th $89$9,3330%10%10th90th$257Professionalmedian $59 · 10th–90th $50$1020%20%40%10th90th$59$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$112.20
Median
$281.84
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$194.98
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$194.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$165.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$89.13
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$93.33