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
Charles, LA
See all hospitals reporting CPT 86687 →Price type
Lake Charles Memorial Hospital’s median price of $9 is 17% below the median hospital's median price ($11), higher than 6% 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: 13 payers, 20 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 | Aetna medicaid fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | Amerihealth Caritas caritas_medicaid fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | Blue Cross Blue Shield medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Cigna medicare_access fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Magellan medicaid fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Medicaid medicaid fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | Medicare railroad fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | Tricare medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | UnitedHealthcare medicaid fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | UnitedHealthcare medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | WellCare medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 12 | Humana medicare fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 13 | UnitedHealthcare commercial fee schedule · outpatient | $9.32 | $9.32 | $9.32 – $9.32 |
| 14 | Aetna medicare fee schedule · outpatient | $20.63 | $20.63 | $9.09 – $32.17 |
| 15 | Blue Cross Blue Shield commercial fee schedule · outpatient | $21.12 | $21.12 | $21.12 – $21.12 |
| 16 | Humana commercial fee schedule · outpatient | $31.81 | $31.81 | $31.81 – $31.81 |
| 17 | Phcs commercial percent of total billed charges · outpatientfrom % of charges | $53.07 | $53.07 | $53.07 – $53.07 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $53.07 | $53.07 | $53.07 – $53.07 |
| 19 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $56.87 | $56.87 | $56.87 – $56.87 |
| 20 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $60.66 | $60.66 | $60.66 – $60.66 |
Last updated: Apr 1, 2026
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