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Felbamate Drug Level

Michigan 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?

$17.78

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $17.78 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$13.18 to $18.62
FacilityA hospital or hospital-owned outpatient department$17.78$17.38 to $23.44

How much rates vary

Facilitymedian $18 · 10th to 90th $14 to $34Professionalmedian $18 · 10th to 90th $10 to $22
$10$20$50facility $18professional $18

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$27.54
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$8.91
Median
$8.91
Typical High
$13.80
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.55
Median
$3.55
Typical High
$5.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$17.78
Typical High
$18.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.94
Median
$8.91
Typical High
$9.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.16
Median
$3.55
Typical High
$3.80
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$19.95
Typical High
$34.67
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$14.13
Typical High
$15.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$10.47
Typical High
$26.92
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$47.86
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$8.91
Median
$8.91
Typical High
$13.80
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.55
Median
$3.55
Typical High
$5.50
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$23.44
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Priority Health
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$10.47
Typical High
$22.91
United
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$16.60
Typical High
$22.39
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$11.22
Typical High
$18.62

Where Michigan 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.

Michigan· 21st of 51

$17.78

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.