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Zonisamide Drug Level Blood Test

Maine rates for HCPCS 80203

A blood test that measures the amount of zonisamide, a medication used to treat seizures, present in the bloodstream. Doctors use this test to make sure the dose is high enough to control seizures while staying within a safe range and avoiding side effects. Blood is typically drawn at a consistent time relative to a dose to get an accurate reading.

Rates data updated July 2026.

How much does Zonisamide Drug Level Blood Test cost?

$13.18

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $21.38 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 6 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$13.18$10.72 to $13.49
FacilityA hospital or hospital-owned outpatient department$21.38$13.18 to $75.86

How much rates vary

Facilitymedian $21 · 10th to 90th $13 to $115Professionalmedian $13 · 10th to 90th $7 to $17
$10$20$50$100$200facility $21professional $13

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
$13.18
Median
$17.78
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$13.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$114.82
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.59
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$19.05
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$19.05
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$16.22
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$75.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$26.92

Where Maine sits

The same service costs 3.2 times more in South Dakota than in Washington, DC. 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.

Maine· 37th of 51

$13.18

SD $31.62DC $10.00

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.