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 ANTIBODY
Waco, TX
See all hospitals reporting CPT 86687 →Price type
Ascension Providence’s median price of $9 is 15% below the median hospital's median price ($11), higher than 26% 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: 8 payers, 28 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 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 2 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 3 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 4 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 5 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 6 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 7 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 8 | Tricare 877_tricare outpatient 20250101 other · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | Tricare 986_tricare inpatient 20251001 other · inpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 12 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 13 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 14 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 15 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 16 | Blue Cross Blue Shield 974_bcbs star inpatient 20240901 fee schedule · both | $10.93 | $10.93 | $10.93 – $10.93 |
| 17 | Molina 891_molina chip inpatient 20240901 fee schedule · both | $10.93 | $10.93 | $10.93 – $10.93 |
| 18 | Superior Healthplan 817_superior star inpatient 20240901 fee schedule · both | $10.93 | $10.93 | $10.93 – $10.93 |
| 19 | Superior Healthplan 856_superior star plus inpatient 20240901 fee schedule · both | $10.93 | $10.93 | $10.93 – $10.93 |
| 20 | UnitedHealthcare 852_uhc star plus inpatient 20240901 fee schedule · both | $10.93 | $10.93 | $10.93 – $10.93 |
| 21 | UnitedHealthcare 894_uhc star kids inpatient 20240901 fee schedule · both | $10.93 | $10.93 | $10.93 – $10.93 |
| 22 | UnitedHealthcare 929_uhc star inpatient 20250701 fee schedule · both | $10.93 | $10.93 | $10.93 – $10.93 |
| 23 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $13.63 | $13.63 | $13.63 – $13.63 |
| 24 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $13.63 | $13.63 | $13.63 – $13.63 |
| 25 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $17.00 | $17.00 | $17.00 – $17.00 |
Last updated: Jan 1, 2026
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