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Felbamate Drug Level

Maine 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 Maine, 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 $30.20 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$18.62$14.13 to $18.62
FacilityA hospital or hospital-owned outpatient department$30.20$18.62 to $83.18

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $120Professionalmedian $19 · 10th to 90th $9 to $22
$5.0$10.0$20.0$50.0$100.0facility $30professional $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
$18.62
Median
$18.62
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$18.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$120.23
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$20.42
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.62
Typical High
$21.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$22.39
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$83.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.62
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$28.84

Where Maine 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.

Maine $18.62 · 20th 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.