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VKORC1 Warfarin Sensitivity Gene Test

South Dakota 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 $170 · 10th–90th $100$1700%50%10th$170Professionalmedian $117 · 10th–90th $59$2140%10%10th90th$117$50.0$100.0$200.0

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
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$117.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13