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VKORC1 Warfarin Sensitivity Gene Test

Texas 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 $158 · 10th–90th $58$4370%5%10%10th90th$158Professionalmedian $62 · 10th–90th $37$1070%10%10th90th$62$2.0$10.0$50.0$200.0$1.0K

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
$53.70
Median
$120.23
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$281.84
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$48.98
Typical High
$54.95
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$66.07
Christus
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$144.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$89.13
Typical High
$151.36
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$89.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$91.20
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$89.13
Typical High
$120.23