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 - 1 ANTIBODY
Pennington, NJ
See all hospitals reporting CPT 86687 →Price type
Capital Health System Inc’s median price of $30 is 172% above the median hospital's median price ($11), higher than 83% 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, 16 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 | Clover medicare advantage case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | UnitedHealthcare commercial fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | UnitedHealthcare managed medicaid fee schedule · outpatient | $9.23 | $9.23 | $9.23 – $9.23 |
| 4 | Humana medicare advantage case rate · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 5 | Cigna local plus fee schedule · outpatient | $30.80 | $30.80 | $30.80 – $30.80 |
| 6 | Cigna managed care/ppo fee schedule · outpatient | $30.80 | $30.80 | $30.80 – $30.80 |
| 7 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $31.92 | $31.92 | $28.08 – $35.75 |
| 8 | Blue Cross Blue Shield omnia percent of total billed charges · outpatientfrom % of charges | $58.92 | $58.92 | $51.84 – $66.00 |
| 9 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $65.49 | $65.49 | $57.62 – $73.35 |
| 10 | Blue Cross Blue Shield indemnity percent of total billed charges · outpatientfrom % of charges | $70.69 | $70.69 | $62.19 – $79.18 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $70.69 | $70.69 | $62.19 – $79.18 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $209.81 | $209.81 | $184.60 – $235.01 |
| 13 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $443.25 | $443.25 | $390.00 – $496.50 |
| 14 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $443.25 | $443.25 | $390.00 – $496.50 |
| 15 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $502.35 | $502.35 | $442.00 – $562.70 |
| 16 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $502.35 | $502.35 | $442.00 – $562.70 |
Last updated: Jun 24, 2026
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