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 ANTIBODY
Kernersville, NC
See all hospitals reporting CPT 86687 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $114 is 944% above the median hospital's median price ($11), higher than 96% 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 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | Humana medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Aetna medicare fee schedule · outpatient | $9.32 | $9.32 | $9.32 – $9.32 |
| 5 | Cigna healthspring fee schedule · outpatient | $9.36 | $9.36 | $9.36 – $9.36 |
| 6 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $52.84 | $52.84 | $28.78 – $76.89 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $52.84 | $52.84 | $28.78 – $76.89 |
| 8 | WellCare medicaid fee schedule · outpatient | $52.84 | $52.84 | $28.78 – $76.89 |
| 9 | Cigna aca fee schedule · outpatient | $107.97 | $107.97 | $58.82 – $157.12 |
| 10 | Caresource qualified health plan fee schedule · outpatient | $111.60 | $111.60 | $60.80 – $162.40 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $145.64 | $145.64 | $79.34 – $211.93 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $150.66 | $150.66 | $82.08 – $219.24 |
| 13 | Cigna commercial fee schedule · outpatient | $165.72 | $165.72 | $90.28 – $241.16 |
| 14 | Aetna commercial fee schedule · outpatient | $171.86 | $171.86 | $93.63 – $250.09 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $187.76 | $187.76 | $102.29 – $273.23 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $191.67 | $191.67 | $104.42 – $278.92 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $191.67 | $191.67 | $104.42 – $278.92 |
| 18 | Humana commercial fee schedule · outpatient | $217.34 | $217.34 | $118.40 – $316.27 |
| 19 | Aetna aca fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 20 | Aetna first health fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 22 | Aetna rental network products fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 23 | Aetna whole health non-multitier fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 24 | Medcost mbs fee schedule · outpatient | $237.15 | $237.15 | $129.20 – $345.10 |
| 25 | Beechstreet commercial fee schedule · outpatient | $251.10 | $251.10 | $136.80 – $365.40 |
Last updated: Mar 29, 2026
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