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.
Original text from hospital filings
HTLV I AB
Fort Mill, SC
See all hospitals reporting CPT 86687 →Price type
Amisub of South Carolina, Inc.’s median price of $68 is 522% above the median hospital's median price ($11), higher than 92% of the 1,789 hospitals reporting CPT 86687. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare exchange fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | UnitedHealthcare united healthcare non options ppo fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | UnitedHealthcare united healthcare options ppo fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Ambetter ambetter by absolute hix fee schedule · both | $10.43 | $10.43 | $10.43 – $10.43 |
| 5 | Ambetter ambetter by absolute exchange hix fee schedule · both | $10.74 | $10.74 | $10.74 – $10.74 |
| 6 | Aetna aetna commercial fee schedule · both | $15.50 | $15.50 | $1.00 – $30.00 |
| 7 | Blue Cross Blue Shield blue cross state fee schedule · both | $40.07 | $40.07 | $40.07 – $40.07 |
| 8 | Cigna cigna health plan - hmo fee schedule · both | $67.87 | $67.87 | $67.87 – $67.87 |
| 9 | Cigna cigna hmo/gatekeeper fee schedule · both | $67.87 | $67.87 | $67.87 – $67.87 |
| 10 | Blue Cross Blue Shield bluechoice healthplan state employee fee schedule · both | $72.94 | $72.94 | $72.94 – $72.94 |
| 11 | Blue Cross Blue Shield bcbs preferred blue ppo fee schedule · both | $110.39 | $110.39 | $110.39 – $110.39 |
| 12 | Blue Cross Blue Shield bluechoice healthplan of sc fee schedule · both | $110.39 | $110.39 | $110.39 – $110.39 |
| 13 | Aetna aetna us healthcare of the carolinas hmo/piedmont medical center fee schedule · both | $573.80 | $573.80 | $573.80 – $573.80 |
| 14 | Aetna aetna us healthcare of the carolinas ppo/piedmont medical ctr fee schedule · both | $573.80 | $573.80 | $573.80 – $573.80 |
| 15 | Blue Cross Blue Shield bluechoice - medicaid fee schedule · both | $755.00 | $755.00 | $755.00 – $755.00 |
| 16 | Humana humana medicaid fee schedule · both | $755.00 | $755.00 | $755.00 – $755.00 |
| 17 | Molina molina managed medicaid program fee schedule · both | $755.00 | $755.00 | $755.00 – $755.00 |
Last updated: Apr 15, 2026
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