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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 October 2026.

How much does Felbamate Drug Level cost?

$13.18

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $54.95 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$9.77 to $13.18
FacilityA hospital or hospital-owned outpatient department$54.95$12.88 to $14,454

How much rates vary

Facilitymedian $55 · 10th to 90th $10 to $21,878Professionalmedian $12 · 10th to 90th $9 to $16
$10$100$1K$10Kfacility $55professional $12

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
$9.77
Median
$12.30
Typical High
$19.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$15.85
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.90
Median
$4.90
Typical High
$7.94
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.00
Median
$2.00
Typical High
$3.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$40.74
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$17.78
Typical High
$38.90
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$9.33
Typical High
$10.96
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$18,197.01
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
United
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$11.22
Typical High
$18.62

Where New Jersey 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.

New Jersey· 47th of 51

$13.18

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.