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Felbamate Drug Level

Vermont 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?

$22.91

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $204 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$22.91$22.91 to $22.91
FacilityA hospital or hospital-owned outpatient department$204$18.62 to $234

How much rates vary

Facilitymedian $204 · 10th to 90th $6 to $234Professionalmedian $23 · 10th to 90th $11 to $23
$10.0$20.0$50.0$100.0$200.0facility $204professional $23

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. 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
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$21.38
Typical High
$23.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$18.62
Typical High
$40.74

Where Vermont 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.

Vermont $22.91 · 7th 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.