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 RL
Madison, WV
See all hospitals reporting CPT 86687 →Price type
Boone Memorial Hospital’s median price of $26 is 139% above the median hospital's median price ($11), higher than 82% 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: 4 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 | Humana medicare advantage other · both | $25.52 | $25.52 | $25.52 – $25.52 |
| 2 | Aetna default fee schedule · both | $26.04 | $26.04 | $26.04 – $26.04 |
| 3 | Highmark default other · both | $26.04 | $26.04 | $26.04 – $26.04 |
| 4 | Cigna default percent of total billed charges · bothfrom % of charges | $69.38 | $69.38 | $69.38 – $69.38 |
| 5 | Aetna default percent of total billed charges · bothfrom % of charges | $88.35 | $88.35 | $88.35 – $88.35 |
Last updated: Apr 7, 2026
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