Felbamate blood level test

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DRUG ASSAY FELBAMATE

Payers reporting CPT 80167

Payer pricing summary

Low

Average

$63

Median

$48

High

$202

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +33 other terms	740	$19	$24	$33	137%	—	$1 – $461
2	Aetna fee schedule · outpatient · +26 other terms	636	$19	$82	$435	533%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +24 other terms	487	$19	$29	$40	137%	—	$1 – $342
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	469	$25	$43	$46	109%	—	$0 – $396
5	Cigna fee schedule · outpatient · +22 other terms	370	$36	$47	$39	83%	—	$5 – $248
6	WellCare fee schedule · outpatient · +17 other terms	293	$19	$21	$11	51%	—	$8 – $156
7	Molina fee schedule · outpatient · +25 other terms	262	$20	$22	$9	43%	—	$1 – $56
8	Devoted fee schedule · outpatient · +13 other terms	194	$19	$19	$1	3%	—	$18 – $22
9	Anthem fee schedule · outpatient · +22 other terms	182	$20	$34	$33	96%	—	$7 – $140
10	Oscar fee schedule · outpatient · +17 other terms	163	$36	$40	$14	34%	—	$11 – $57
11	Cigna Healthspring fee schedule · outpatient · +7 other terms	126	$19	$19	$1	6%	—	$11 – $20
12	Ambetter fee schedule · outpatient · +17 other terms	110	$31	$29	$12	41%	—	$12 – $93
13	Kaiser fee schedule · outpatient · +18 other terms	105	$19	$24	$19	79%	—	$5 – $180
14	Aetna Better Health fee schedule · outpatient · +18 other terms	95	$17	$17	$2	9%	—	$9 – $21
15	Caresource fee schedule · outpatient · +16 other terms	79	$19	$35	$40	115%	—	$1 – $159
16	MultiPlan fee schedule · outpatient · +14 other terms	67	$270	$209	$149	72%	—	$14 – $528
17	Optum fee schedule · outpatient · +16 other terms	56	$19	$24	$10	41%	—	$18 – $54
18	Superior Healthplan fee schedule · outpatient · +7 other terms	52	$20	$25	$7	27%	—	$16 – $56
19	First Health fee schedule · outpatient · +15 other terms	50	$19	$27	$34	127%	—	$11 – $233
20	Medicaid facility · fee schedule · outpatient · +11 other terms	49	$17	$18	$4	20%	—	$10 – $44
21	Tricare facility · fee schedule · outpatient · +14 other terms	49	$18	$21	$12	59%	—	$15 – $93
22	Medica facility · fee schedule · outpatient · +15 other terms	47	$19	$20	$6	31%	—	$6 – $48
23	Amerihealth Caritas fee schedule · outpatient · +10 other terms	43	$19	$20	$5	23%	—	$12 – $28
24	Clover fee schedule · outpatient · +6 other terms	41	$19	$19	$0	2%	—	$19 – $20
25	Medicare fee schedule · both · +9 other terms	39	$19	$19	—	—	—	$19 – $19

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