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Felbamate Drug Level

Colorado rates for HCPCS 80167

Measures how much felbamate, a medicine used to control difficult epilepsy, is present in a blood sample. The level is checked to confirm the dose is in a useful range, particularly when seizures continue or when other medicines that interact with it are started or stopped.

Rates data updated July 2026.

How much does Felbamate Drug Level cost?

$17.38

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $50.12 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.13$12.59 to $15.85
FacilityA hospital or hospital-owned outpatient department$50.12$24.55 to $77.62

How much rates vary

Facilitymedian $50 · 10th to 90th $14 to $93Professionalmedian $14 · 10th to 90th $8 to $17
$0.2$1.0$5.0$20.0$100.0facility $50professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$40.74
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.45
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$54.95
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.76
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$26.92
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$24.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$151.36
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$34.67
Typical High
$38.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$18.62
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$17.38

Where Colorado sits

The same service costs 2.3 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $17.38 · 30th of 51
ND $28.18CT $12.30

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.