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VKORC1 Warfarin Sensitivity Gene Test

Washington 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 $132 · 10th–90th $89$3720%20%10th90th$132Professionalmedian $89 · 10th–90th $52$2240%10%20%10th90th$89$50.0$100.0$200.0$500.0$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
$83.18
Median
$194.98
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$588.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$239.88
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$173.78
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$93.33
Typical High
$120.23
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$177.83
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$104.71
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$275.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$104.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$239.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$97.72
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$89.13
Typical High
$158.49