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Felbamate Drug Level

Pennsylvania 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?

$17.38

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $36.31 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$15.14$14.45 to $17.38
FacilityA hospital or hospital-owned outpatient department$36.31$22.91 to $54.95

How much rates vary

Facilitymedian $36 · 10th to 90th $16 to $83Professionalmedian $15 · 10th to 90th $11 to $30
$10.0$100.0$1.0K$10.0Kfacility $36professional $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
$15.85
Median
$36.31
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.14
Typical High
$43.65
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$28.84
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$20.42
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.72
Typical High
$26.92
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.62
Typical High
$32.36
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$112.20
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$36.31
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.14
Typical High
$54.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$45.71
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$18.62
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.75
Typical High
$28.18

Where Pennsylvania 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.

Pennsylvania $17.38 · 31st 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.