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Felbamate Drug Level

Iowa 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?

$18.62

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $28.84 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$14.45$12.30 to $44.67
FacilityA hospital or hospital-owned outpatient department$28.84$18.62 to $48.98

How much rates vary

Facilitymedian $29 · 10th to 90th $14 to $54Professionalmedian $14 · 10th to 90th $11 to $123
$10.0$20.0$50.0$100.0$200.0facility $29professional $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
$14.45
Median
$38.90
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.45
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$44.67
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$42.66
Midlands
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$40.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$18.62
Typical High
$18.62

Where Iowa 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.

Iowa $18.62 · 17th 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.