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Felbamate Drug Level

New York 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 York, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $29.51 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 9 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$12.02$10.23 to $18.62
FacilityA hospital or hospital-owned outpatient department$29.51$18.62 to $42.66

How much rates vary

Facilitymedian $30 · 10th to 90th $13 to $51Professionalmedian $12 · 10th to 90th $7 to $29
$10.0$100.0$1.0K$10.0Kfacility $30professional $12

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
$15.14
Median
$32.36
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$18.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$33.88
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$18.62
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$39.81
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$23.44
Typical High
$89.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$51.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.22
Typical High
$36.31
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$20.89
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$35.48
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$18.62
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$13.18
Typical High
$45.71
Univera
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$22.39
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$22.91

Where New York 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 York $15.85 · 35th 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.