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Felbamate Drug Level

Ohio 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?

$17.78

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $28.84 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 8 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$14.79$8.71 to $18.62
FacilityA hospital or hospital-owned outpatient department$28.84$18.62 to $46.77

How much rates vary

Facilitymedian $29 · 10th to 90th $15 to $74Professionalmedian $15 · 10th to 90th $7 to $32
$5.0$10.0$20.0$50.0$100.0facility $29professional $15

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
$15.49
Median
$38.02
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.55
Typical High
$21.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$21.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$23.44
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.71
Typical High
$35.48
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$23.99
Typical High
$75.86
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.71
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.49
Typical High
$22.91
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$18.62
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$19.95

Where Ohio 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.

Ohio $17.78 · 26th 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.