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Felbamate Drug Level

Tennessee 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?

$14.45

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $18.62 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 5 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$14.13$14.13 to $16.60
FacilityA hospital or hospital-owned outpatient department$18.62$14.79 to $51.29

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $89Professionalmedian $14 · 10th to 90th $12 to $20
$5$10$20$50$100$200facility $19professional $14

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
$14.13
Median
$20.42
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$19.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$23.99
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.72
Typical High
$26.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$16.60
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$18.62

Where Tennessee 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.

Tennessee· 46th of 51

$14.45

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.