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
DALLAS, TX
See all hospitals reporting CPT 86687 →Price type
Med City Spine Hospital’s median price of $14 is 25% above the median hospital's median price ($11), higher than 59% 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: 14 payers, 70 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare chip fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 2 | UnitedHealthcare star fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 3 | UnitedHealthcare starkids fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 4 | UnitedHealthcare starperinate fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 5 | UnitedHealthcare starplus fee schedule · outpatient | $7.64 | $7.64 | $7.64 – $7.64 |
| 6 | Cigna Healthspring mgmcd fee schedule · outpatient | $8.02 | $8.02 | $8.02 – $8.02 |
| 7 | Aetna Better Health chip fee schedule · outpatient | $8.25 | $8.25 | $8.25 – $8.25 |
| 8 | Aetna Better Health mcd fee schedule · outpatient | $8.25 | $8.25 | $8.25 – $8.25 |
| 9 | Molina chip fee schedule · outpatient | $8.48 | $8.48 | $8.40 – $8.56 |
| 10 | Molina mcdstar fee schedule · outpatient | $8.48 | $8.48 | $8.40 – $8.56 |
| 11 | Molina star+plus fee schedule · outpatient | $8.48 | $8.48 | $8.40 – $8.56 |
| 12 | Molina starkids fee schedule · outpatient | $8.48 | $8.48 | $8.40 – $8.56 |
| 13 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 14 | Devoted hmo fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 15 | Devoted mcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 16 | Devoted mme fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 17 | Devoted pos fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 18 | Devoted ppo fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 19 | Devoted snp fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 20 | Humana mgmcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 21 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 22 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 23 | UnitedHealthcare smallgroup fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 24 | UnitedHealthcare mgmcr fee schedule · outpatient | $9.14 | $9.14 | $9.14 – $9.14 |
| 25 | Cigna Healthspring mgmcr fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
Last updated: Mar 1, 2026
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