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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 July 2026.

How much does Felbamate Drug Level cost?

$16.60

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $28.18 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$14.13$14.13 to $22.39
FacilityA hospital or hospital-owned outpatient department$28.18$16.60 to $60.26

How much rates vary

Facilitymedian $28 · 10th to 90th $11 to $62Professionalmedian $14 · 10th to 90th $8 to $123
$10$100$1K$10K$100Kfacility $28professional $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. 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
Global
Typical Low
$28.18
Median
$56.23
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$21.38
Typical High
$27.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$17.78
Typical High
$22.39
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$19.50
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$16.60
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$14.13

Where New Mexico sits

The same service costs 2.3 times more in North Dakota than in Connecticut. 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· 33rd of 51

$16.60

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.