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Felbamate Drug Level

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $21.38 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$13.80$9.77 to $16.60
FacilityA hospital or hospital-owned outpatient department$21.38$18.62 to $22.91

How much rates vary

Facilitymedian $21 · 10th to 90th $17 to $28Professionalmedian $14 · 10th to 90th $8 to $26
$10$20$50facility $21professional $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
Professional
Modifier
None
Typical Low
$12.30
Median
$13.80
Typical High
$13.80
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$21.38
Typical High
$23.99
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$11.75
Typical High
$14.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$26.30
Typical High
$26.92
United
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$18.62
Typical High
$30.90

Where Rhode Island 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.

Rhode Island· 41st 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.