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Felbamate Drug Level

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $26.92 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 9 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$18.62$15.14 to $18.62
FacilityA hospital or hospital-owned outpatient department$26.92$18.62 to $48.98

How much rates vary

Facilitymedian $27 · 10th to 90th $14 to $60Professionalmedian $19 · 10th to 90th $12 to $40
$10.0$100.0$1.0K$10.0Kfacility $27professional $19

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
$13.18
Median
$42.66
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.18
Typical High
$17.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$89.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$13.80
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$22.39
Typical High
$48.98
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$31.62
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$39.81
Health New England
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$63.10
Typical High
$66.07
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$89.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$18.62
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$45.71

Where Massachusetts 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.

Massachusetts $18.62 · 22nd 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.