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
DUBLIN, GA
See all hospitals reporting CPT 86687 →Price type
Fairview Park Hospital’s median price of $10 is 13% below the median hospital's median price ($11), higher than 32% 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: 11 payers, 28 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 tricare fee schedule · outpatient | $7.78 | $7.78 | $7.78 – $7.78 |
| 2 | Aetna hmo fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 3 | Aetna openaccess fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 4 | Aetna pos fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 5 | Aetna ppo fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 6 | Aetna qualifiedhealthplan fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 7 | Blue Cross Blue Shield hix fee schedule · outpatient | $8.50 | $8.50 | $8.50 – $8.50 |
| 8 | Blue Cross Blue Shield pathway fee schedule · outpatient | $8.50 | $8.50 | $8.50 – $8.50 |
| 9 | Devoted mcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | Humana mgmcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 12 | UnitedHealthcare vaccn fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 13 | Aetna mcr fee schedule · outpatient | $9.18 | $9.18 | $9.18 – $9.18 |
| 14 | Caresource mgmcd fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 15 | UnitedHealthcare mcr 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 | Blue Cross Blue Shield mcr fee schedule · outpatient | $9.36 | $9.36 | $9.36 – $9.36 |
| 18 | Aetna Better Health mcd fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 19 | Clover mcr fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 20 | Blue Cross Blue Shield hmo fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 21 | Blue Cross Blue Shield ppo fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 22 | Ambetter hix fee schedule · outpatient | $10.73 | $10.73 | $10.73 – $10.73 |
| 23 | WellCare mcd percent of total billed charges · outpatientfrom % of charges | $13.25 | $13.25 | $13.25 – $13.25 |
| 24 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $16.36 | $16.36 | $16.36 – $16.36 |
| 25 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $29.81 | $29.81 | $29.81 – $29.81 |
Last updated: Mar 1, 2026
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