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VKORC1 Warfarin Sensitivity Gene Test

New Mexico 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 $331 · 10th–90th $79$8910%10%10th90th$331Professionalmedian $72 · 10th–90th $37$5890%20%10th90th$72$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
$131.83
Median
$263.03
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$562.34
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$112.20
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$79.43
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$70.79