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VKORC1 Warfarin Sensitivity Gene Test

South Carolina 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 $162 · 10th–90th $62$4170%10%10th90th$162Professionalmedian $69 · 10th–90th $52$930%20%10th90th$69$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
$61.66
Median
$218.78
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$89.13