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Felbamate Drug Level

South Dakota 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?

$28.18

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $35.48 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 6 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$21.38$14.45 to $43.65
FacilityA hospital or hospital-owned outpatient department$35.48$35.48 to $35.48

How much rates vary

Facilitymedian $35 · 10th to 90th $21 to $35Professionalmedian $21 · 10th to 90th $13 to $45
$10$20$50$100facility $35professional $21

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
$13.18
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.45
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$35.48
Typical High
$44.67
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$22.39
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$24.55
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62

Where South Dakota 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.

South Dakota· 2nd of 51

$28.18

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.