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
Antibody; HTLV-I
Kansas City, MO
See all hospitals reporting CPT 86687 →Price type
Belton Regional Medical Center’s median price of $12 is 12% above the median hospital's median price ($11), higher than 55% 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: 9 payers, 31 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 | Cigna surefit/localplus fee schedule · outpatient | $4.61 | $4.61 | $4.61 – $4.61 |
| 2 | Cigna localkc fee schedule · outpatient | $5.56 | $5.56 | $5.56 – $5.56 |
| 3 | Cigna comm fee schedule · outpatient | $6.91 | $6.91 | $6.91 – $6.91 |
| 4 | Blue Cross Blue Shield tricare fee schedule · outpatient | $8.04 | $8.04 | $8.04 – $8.04 |
| 5 | Aetna familyhealthplanmcd fee schedule · outpatient | $8.59 | $8.59 | $8.59 – $8.59 |
| 6 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $9.00 | $9.00 | $9.00 – $9.00 |
| 7 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $9.00 | $9.00 | $9.00 – $9.00 |
| 8 | Devoted mgmcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | Humana mgmcrhmo fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | Humana mgmcrppo fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | Humana pffs fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 12 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 13 | UnitedHealthcare vaccn fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 14 | Cigna healthspringmgmcr fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 15 | UnitedHealthcare mgmcr fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 16 | WellCare mcr fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 17 | Aetna ivlhix fee schedule · outpatient | $12.27 | $12.27 | $12.27 – $12.27 |
| 18 | Aetna kccareplus fee schedule · outpatient | $12.82 | $12.82 | $12.82 – $12.82 |
| 19 | Oscar hix fee schedule · outpatient | $13.82 | $13.82 | $13.82 – $13.82 |
| 20 | MultiPlan wcompmissouri fee schedule · outpatient | $15.06 | $15.06 | $15.06 – $15.06 |
| 21 | Blue Cross Blue Shield blue-care(hmo) fee schedule · outpatient | $16.45 | $16.45 | $16.45 – $16.45 |
| 22 | Blue Cross Blue Shield blueaccess fee schedule · outpatient | $16.45 | $16.45 | $16.45 – $16.45 |
| 23 | Blue Cross Blue Shield preferred-careblue(ppo) fee schedule · outpatient | $16.45 | $16.45 | $16.45 – $16.45 |
| 24 | Aetna local fee schedule · outpatient | $17.18 | $17.18 | $17.18 – $17.18 |
| 25 | MultiPlan wcompkansas fee schedule · outpatient | $18.35 | $18.35 | $18.35 – $18.35 |
Last updated: Mar 1, 2026
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