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Felbamate Drug Level

Indiana 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?

$15.14

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $18.62 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 5 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$15.14$10.47 to $15.14
FacilityA hospital or hospital-owned outpatient department$18.62$18.62 to $37.15

How much rates vary

Facilitymedian $19 · 10th to 90th $19 to $56Professionalmedian $15 · 10th to 90th $7 to $18
$10$20$50$100$200facility $19professional $15

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
$15.14
Median
$28.84
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$18.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$30.20
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$13.18
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$18.62
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$20.42

Where Indiana sits

The same service costs 2.3 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 41st of 51

$15.14

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.