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
Two Rivers, WI
See all hospitals reporting CPT 86687 →Price type
Aurora Medical Center Manitowoc’s median price of $23 is 108% above the median hospital's median price ($11), higher than 78% 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: 6 payers, 11 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 charter fee schedule · outpatient | $7.27 | $7.27 | $7.27 – $7.27 |
| 2 | UnitedHealthcare exchange fee schedule · outpatient | $7.27 | $7.27 | $7.27 – $7.27 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $7.27 | $7.27 | $7.27 – $7.27 |
| 4 | UnitedHealthcare nexus fee schedule · outpatient | $7.27 | $7.27 | $7.27 – $7.27 |
| 5 | Anthem blue priority fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Anthem blue preferred fee schedule · outpatient | $10.91 | $10.91 | $10.91 – $10.91 |
| 7 | Aetna hmo fee schedule · outpatient | $20.27 | $20.27 | $20.27 – $20.27 |
| 8 | Healthpartners employee trust fund fee schedule · outpatient | $24.11 | $24.11 | $24.11 – $24.11 |
| 9 | Molina commercial fee schedule · outpatient | $25.09 | $25.09 | $25.09 – $25.09 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $26.76 | $26.76 | $26.76 – $26.76 |
| 11 | Healthpartners robin fee schedule · outpatient | $30.86 | $30.86 | $30.86 – $30.86 |
Last updated: Nov 21, 2025
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