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Felbamate Drug Level

New Mexico 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 New Mexico, October 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $16.60 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.13$7.76 to $22.39
FacilityA hospital or hospital-owned outpatient department$16.60$12.02 to $22.39

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $60Professionalmedian $14 · 10th to 90th $8 to $28
$10$20$50$100facility $17professional $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
Facility
Modifier
None
Typical Low
$14.13
Median
$60.26
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$14.13
Typical High
$22.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$22.91
Typical High
$31.62
Providence
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$16.60
Typical High
$22.39
Providence
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$22.91
Typical High
$31.62
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
$7.76
Typical High
$11.22

Where New Mexico 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 Mexico· 44th 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.