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Felbamate Drug Level

West 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 October 2026.

How much does Felbamate Drug Level cost?

$15.14

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $36.31 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.22$8.32 to $26.92
FacilityA hospital or hospital-owned outpatient department$36.31$18.20 to $56.23

How much rates vary

Facilitymedian $36 · 10th to 90th $15 to $56Professionalmedian $11 · 10th to 90th $8 to $35
$10$20$50$100facility $36professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$15.14
Typical High
$15.14
CareSource
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
CareSource
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$36.31
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$26.92
Typical High
$89.13
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$9.33
Typical High
$34.67

Where West Virginia sits

The same service costs 3.7 times more in Alaska than in Nebraska. 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.

West Virginia· 29th of 51

$15.14

AK $41.69NE $11.22

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.