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Felbamate Drug Level

Maryland 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 October 2026.

How much does Felbamate Drug Level cost?

$14.13

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $14.13 for this service. Most negotiated rates run $11.75 to $14.79.

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.

How much rates vary

Facilitymedian $12 · 10th to 90th $10 to $24Professionalmedian $14 · 10th to 90th $8 to $19
$10$20facility $12professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$14.13
CareFirst
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$12.30
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$17.78
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.38
Typical High
$28.18
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$9.33
Typical High
$15.49
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$14.79
Typical High
$14.79
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.75
Median
$2.82
Typical High
$2.82

Where Maryland sits

The same service costs 3.7 times more in Alaska than in Nebraska. 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.

Maryland· 42nd of 51

$14.13

AK $41.69NE $11.22

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.