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VKORC1 Warfarin Sensitivity Gene Test

Wisconsin 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 $240 · 10th–90th $98$4170%20%10th90th$240Professionalmedian $105 · 10th–90th $35$3020%10%20%10th90th$105$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
$104.71
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$213.80
Typical High
$275.42
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$371.54
Typical High
$562.34
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$251.19
Network Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$251.19
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$263.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$288.40
Quartz
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$416.87
Typical High
$416.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$436.52
Typical High
$436.52
Security Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Security Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$478.63
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$70.79
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$144.54