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 1 AB QUAL
FORT MYERS, FL
See all hospitals reporting CPT 86687 →Price type
Hca Florida Fawcett Hospital’s median price of $9 is 15% below the median hospital's median price ($11), higher than 22% 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: 10 payers, 22 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 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $3.34 | $3.34 | $3.34 – $3.34 |
| 2 | Molina mgmcr percent of total billed charges · outpatientfrom % of charges | $3.87 | $3.87 | $3.87 – $3.87 |
| 3 | Molina hix percent of total billed charges · outpatientfrom % of charges | $5.50 | $5.50 | $5.50 – $5.50 |
| 4 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $5.70 | $5.70 | $5.70 – $5.70 |
| 5 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $5.70 | $5.70 | $5.70 – $5.70 |
| 6 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $6.11 | $6.11 | $6.11 – $6.11 |
| 7 | Humana tricare fee schedule · outpatient | $8.24 | $8.24 | $8.24 – $8.24 |
| 8 | Caresource tricare fee schedule · outpatient | $8.49 | $8.49 | $8.49 – $8.49 |
| 9 | Aetna mcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | UnitedHealthcare mgmcd fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 12 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $9.16 | $9.16 | $9.16 – $9.16 |
| 13 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 14 | Blue Cross Blue Shield mgmcrhmo 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 | Humana mgmcrppo fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 17 | WellCare mcr fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 18 | Cigna Healthspring mcr fee schedule · outpatient | $9.73 | $9.73 | $9.73 – $9.73 |
| 19 | Humana mgmcrhmo fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 20 | Oscar hix fee schedule · outpatient | $14.00 | $14.00 | $14.00 – $14.00 |
| 21 | MultiPlan primaryppo percent of total billed charges · outpatientfrom % of charges | $15.27 | $15.27 | $15.27 – $15.27 |
| 22 | MultiPlan complementaryppo percent of total billed charges · outpatientfrom % of charges | $17.31 | $17.31 | $17.31 – $17.31 |
Last updated: Mar 1, 2026
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