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VKORC1 Warfarin Sensitivity Gene Test

Utah 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 $102 · 10th–90th $50$1780%20%10th90th$102Professionalmedian $52 · 10th–90th $41$980%20%10th90th$52$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
$50.12
Median
$50.12
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$91.20
Typical High
$186.21
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$102.33
Typical High
$354.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$77.62
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13