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Felbamate Drug Level

Virginia 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?

$15.85

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $15.85 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 8 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$11.48 to $15.85
FacilityA hospital or hospital-owned outpatient department$18.62$18.62 to $38.90

How much rates vary

Facilitymedian $19 · 10th to 90th $14 to $69Professionalmedian $14 · 10th to 90th $7 to $24
$10.0$100.0$1.0K$10.0Kfacility $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
$35.48
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$12.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$63.10
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$36.31
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.22
Typical High
$23.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$27.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$15.85
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$38.90
Sentara
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$22.91
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.44
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$18.62
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$18.62

Where Virginia 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.

Virginia $15.85 · 37th 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.