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
Tyler, TX
See all hospitals reporting CPT 86687 →Price type
Mother Frances Hospital - South Tyler’s median price of $10 is 13% below the median hospital's median price ($11), higher than 32% 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: 7 payers, 21 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 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $4.55 | $4.55 | $4.55 – $4.55 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $5.45 | $5.45 | $5.45 – $5.45 |
| 3 | UnitedHealthcare all payer fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 4 | Aetna mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Bcbs Tx mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Humana mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | UnitedHealthcare va ccn mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | WellCare mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | Molina chip km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 11 | Molina healthspring star plus km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 12 | Molina star plus km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 13 | UnitedHealthcare star kids km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 14 | UnitedHealthcare star km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 15 | Cigna new business fee schedule · outpatient | $18.16 | $18.16 | $18.16 – $18.16 |
| 16 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $28.00 | $28.00 | $28.00 – $28.00 |
| 17 | Bcbs Tx hmo fee schedule · outpatient | $34.09 | $34.09 | $34.09 – $34.09 |
| 18 | Bcbs Tx heb fee schedule · outpatient | $34.45 | $34.45 | $34.45 – $34.45 |
| 19 | Cigna ppo fee schedule · outpatient | $35.68 | $35.68 | $35.68 – $35.68 |
| 20 | Bcbs Tx ppo fee schedule · outpatient | $37.45 | $37.45 | $37.45 – $37.45 |
| 21 | Bcbs Tx traditional fee schedule · outpatient | $40.09 | $40.09 | $40.09 – $40.09 |
Last updated: Jan 12, 2026
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