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Felbamate Drug Level

New Jersey 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?

$15.85

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $30.90 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$14.45$11.22 to $15.85
FacilityA hospital or hospital-owned outpatient department$30.90$23.99 to $85.11

How much rates vary

Facilitymedian $31 · 10th to 90th $19 to $158Professionalmedian $14 · 10th to 90th $10 to $21
$10.0$100.0$1.0K$10.0Kfacility $31professional $14

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
$19.05
Median
$24.55
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.45
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$40.74
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.75
Typical High
$38.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$10.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.79
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$18.62
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$18.62

Where New Jersey 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.

New Jersey $15.85 · 36th 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.