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
HC HTLV I ANTIBODY
CLINTWOOD, VA
See all hospitals reporting CPT 86687 →Price type
Dickenson Community Hospital’s median price of $19 is 73% above the median hospital's median price ($11), higher than 74% 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, 27 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 | Blue Cross Blue Shield anthem exchange fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | Blue Cross Blue Shield anthem hmo fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | Blue Cross Blue Shield anthem ppo, traditional indemnity fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | UnitedHealthcare uhc heritage river valley fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | UnitedHealthcare uhc heritage select fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | UnitedHealthcare united healthcare fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | UnitedHealthcare tenncare united healthcare fee schedule · both | $10.69 | $10.69 | $10.69 – $10.69 |
| 8 | UnitedHealthcare united healthcare medicaid virginia fee schedule · both | $16.90 | $16.90 | $16.90 – $16.90 |
| 9 | Blue Cross Blue Shield anthem hlthkeep mediciad fee schedule · both | $17.41 | $17.41 | $17.41 – $17.41 |
| 10 | Aetna aetna better health of virginia fee schedule · both | $17.58 | $17.58 | $17.58 – $17.58 |
| 11 | Molina molina healthcare medicaid fee schedule · both | $17.58 | $17.58 | $17.58 – $17.58 |
| 12 | Aetna aetna healthcare medicare percent of total billed charges · bothfrom % of charges | $18.90 | $18.90 | $18.90 – $18.90 |
| 13 | Blue Cross Blue Shield anthem medicare virginia percent of total billed charges · bothfrom % of charges | $18.90 | $18.90 | $18.90 – $18.90 |
| 14 | UnitedHealthcare united healthcare medicare percent of total billed charges · bothfrom % of charges | $18.90 | $18.90 | $18.90 – $18.90 |
| 15 | Humana humana medicare percent of total billed charges · bothfrom % of charges | $19.20 | $19.20 | $19.20 – $19.20 |
| 16 | Aetna aetna better health of virginia medicare percent of total billed charges · bothfrom % of charges | $19.47 | $19.47 | $19.47 – $19.47 |
| 17 | Molina molina healthcare medicare percent of total billed charges · bothfrom % of charges | $19.66 | $19.66 | $19.66 – $19.66 |
| 18 | Cigna cigna medicare percent of total billed charges · bothfrom % of charges | $19.85 | $19.85 | $19.85 – $19.85 |
| 19 | Devoted devoted health plan medicare percent of total billed charges · bothfrom % of charges | $19.85 | $19.85 | $19.85 – $19.85 |
| 20 | Cigna cigna individual family plan fee schedule · both | $20.21 | $20.21 | $20.21 – $20.21 |
| 21 | Medcost medcost vhn percent of total billed charges · bothfrom % of charges | $22.05 | $22.05 | $22.05 – $22.05 |
| 22 | Ambetter ambetter percent of total billed charges · bothfrom % of charges | $23.31 | $23.31 | $23.31 – $23.31 |
| 23 | Blue Cross Blue Shield blue cross ballad health employee fee schedule · both | $28.14 | $28.14 | $28.14 – $28.14 |
| 24 | Cigna cigna hmo fee schedule · both | $33.16 | $33.16 | $33.16 – $33.16 |
| 25 | Cigna cigna open access plus fee schedule · both | $33.16 | $33.16 | $33.16 – $33.16 |
Last updated: Mar 23, 2026
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