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
Winston-Salem, NC
See all hospitals reporting CPT 86687 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $77 is 605% above the median hospital's median price ($11), higher than 94% 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 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 | $28.78 | $38.25 | $9.09 – $76.89 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $28.78 | $38.25 | $9.09 – $76.89 |
| 8 | WellCare medicaid fee schedule · outpatient | $28.78 | $38.25 | $9.09 – $76.89 |
| 9 | Cigna aca fee schedule · outpatient | $58.82 | $78.17 | $18.57 – $157.12 |
| 10 | Caresource qualified health plan fee schedule · outpatient | $60.80 | $80.80 | $19.20 – $162.40 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $79.34 | $105.44 | $25.05 – $211.93 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $82.08 | $109.08 | $25.92 – $219.24 |
| 13 | Cigna commercial fee schedule · outpatient | $90.28 | $119.98 | $28.51 – $241.16 |
| 14 | Aetna commercial fee schedule · outpatient | $93.63 | $124.43 | $29.56 – $250.09 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $102.29 | $135.94 | $32.30 – $273.23 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $104.42 | $138.77 | $32.97 – $278.92 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $104.42 | $138.77 | $32.97 – $278.92 |
| 18 | Humana commercial fee schedule · outpatient | $118.40 | $157.35 | $37.39 – $316.27 |
| 19 | Aetna aca fee schedule · outpatient | $121.60 | $161.60 | $38.40 – $324.80 |
| 20 | Aetna first health fee schedule · outpatient | $121.60 | $161.60 | $38.40 – $324.80 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $121.60 | $161.60 | $38.40 – $324.80 |
| 22 | Aetna rental network products fee schedule · outpatient | $121.60 | $161.60 | $38.40 – $324.80 |
| 23 | Aetna whole health non-multitier fee schedule · outpatient | $121.60 | $161.60 | $38.40 – $324.80 |
| 24 | Medcost mbs fee schedule · outpatient | $129.20 | $171.70 | $40.80 – $345.10 |
| 25 | Beechstreet commercial fee schedule · outpatient | $136.80 | $181.80 | $43.20 – $365.40 |
Last updated: Mar 30, 2026
See HTLV-I antibody blood test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.