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
Brookfield, WI
See all hospitals reporting CPT 86687 →Price type
Ascension SE Wisconsin Hospital, Inc.’s median price of $13 is 17% above the median hospital's median price ($11), higher than 57% 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: 2 payers, 5 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 1282_united health care 20250701 fee schedule · outpatient | $11.65 | $11.65 | $11.65 – $11.65 |
| 2 | Anthem 1277_anthem blue connection 20250701 other · outpatient | $12.73 | $12.73 | $12.73 – $12.73 |
| 3 | Anthem 1242_anthem pathways 20250101 other · outpatient | $12.91 | $12.91 | $12.91 – $12.91 |
| 4 | Anthem 1275_anthem hmo pos 20250701 other · outpatient | $14.09 | $14.09 | $14.09 – $14.09 |
| 5 | Anthem 1276_anthem ppo 20250701 other · outpatient | $21.36 | $21.36 | $21.36 – $21.36 |
Last updated: Jan 1, 2026
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