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
TAMPA, FL
See all hospitals reporting CPT 86687 →Price type
Hca Florida Brandon Hospital’s median price of $10 is 9% below the median hospital's median price ($11), higher than 42% 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, 23 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 | $8.24 | $8.24 | $8.24 – $8.24 |
| 2 | Caresource tricare fee schedule · outpatient | $8.49 | $8.49 | $8.49 – $8.49 |
| 3 | Aetna mcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Devoted mcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | UnitedHealthcare mgmcd fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 8 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 9 | UnitedHealthcare mcr fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 10 | Humana mgmcrppo fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 11 | WellCare mcr fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 12 | Cigna Healthspring mcr fee schedule · outpatient | $9.73 | $9.73 | $9.73 – $9.73 |
| 13 | Humana mgmcrhmo fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 14 | Oscar hix fee schedule · outpatient | $12.36 | $12.36 | $12.36 – $12.36 |
| 15 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $15.15 | $15.15 | $15.15 – $15.15 |
| 16 | Molina mgmcr percent of total billed charges · outpatientfrom % of charges | $17.55 | $17.55 | $17.55 – $17.55 |
| 17 | Molina hix percent of total billed charges · outpatientfrom % of charges | $24.94 | $24.94 | $24.94 – $24.94 |
| 18 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $25.87 | $25.87 | $25.87 – $25.87 |
| 19 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $25.87 | $25.87 | $25.87 – $25.87 |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $27.71 | $27.71 | $27.71 – $27.71 |
| 21 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $41.57 | $41.57 | $41.57 – $41.57 |
| 22 | MultiPlan primaryppo percent of total billed charges · outpatientfrom % of charges | $69.28 | $69.28 | $69.28 – $69.28 |
| 23 | MultiPlan complementaryppo percent of total billed charges · outpatientfrom % of charges | $78.52 | $78.52 | $78.52 – $78.52 |
Last updated: Mar 1, 2026
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