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Felbamate Drug Level

Utah 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?

$16.60

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $43.65 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 7 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$16.22$14.45 to $17.38
FacilityA hospital or hospital-owned outpatient department$43.65$21.38 to $91.20

How much rates vary

Facilitymedian $44 · 10th to 90th $17 to $117Professionalmedian $16 · 10th to 90th $13 to $21
$10$20$50$100facility $44professional $16

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
$16.60
Median
$91.20
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$21.38
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$75.86
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$16.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$18.62
Typical High
$23.99
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$18.62

Where Utah 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.

Utah· 32nd of 51

$16.60

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.