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Felbamate Drug Level

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $25.12 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 6 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$15.85$12.30 to $18.62
FacilityA hospital or hospital-owned outpatient department$25.12$18.62 to $34.67

How much rates vary

Facilitymedian $25 · 10th to 90th $15 to $48Professionalmedian $16 · 10th to 90th $11 to $19
$5.0$10.0$20.0$50.0$100.0facility $25professional $16

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
$12.30
Median
$16.60
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.45
Typical High
$17.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$18.62
Typical High
$20.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$40.74
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.55
Typical High
$28.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.38
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$16.60
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$18.62

Where Georgia 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.

Georgia $17.38 · 29th 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.