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
Salisbury, NC
See all hospitals reporting CPT 86687 →Price type
Novant Health Rowan Medical Center LLC’s median price of $102 is 837% above the median hospital's median price ($11), higher than 96% 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, 27 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 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | Humana medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Aetna medicare fee schedule · outpatient | $9.32 | $9.32 | $9.32 – $9.32 |
| 5 | Cigna healthspring fee schedule · outpatient | $9.36 | $9.36 | $9.36 – $9.36 |
| 6 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $47.13 | $47.13 | $24.42 – $69.83 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $47.13 | $47.13 | $24.42 – $69.83 |
| 8 | WellCare medicaid fee schedule · outpatient | $47.13 | $47.13 | $24.42 – $69.83 |
| 9 | Caresource qualified health plan fee schedule · outpatient | $90.42 | $90.42 | $46.86 – $133.98 |
| 10 | Blue Cross Blue Shield blue home fee schedule · outpatient | $123.30 | $123.30 | $63.90 – $182.70 |
| 11 | Blue Cross Blue Shield blue value fee schedule · outpatient | $127.68 | $127.68 | $66.17 – $189.19 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $140.01 | $140.01 | $72.56 – $207.46 |
| 13 | Cigna commercial fee schedule · outpatient | $141.11 | $141.11 | $73.13 – $209.09 |
| 14 | Aetna commercial fee schedule · outpatient | $143.85 | $143.85 | $74.55 – $213.15 |
| 15 | Blue Cross Blue Shield hmo fee schedule · outpatient | $152.62 | $152.62 | $79.09 – $226.14 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $152.62 | $152.62 | $79.09 – $226.14 |
| 17 | Medcost mbs fee schedule · outpatient | $194.54 | $194.54 | $100.82 – $288.26 |
| 18 | Humana commercial fee schedule · outpatient | $197.28 | $197.28 | $102.24 – $292.32 |
| 19 | Aetna first health fee schedule · outpatient | $205.50 | $205.50 | $106.50 – $304.50 |
| 20 | Aetna rental network products fee schedule · outpatient | $205.50 | $205.50 | $106.50 – $304.50 |
| 21 | Medcost non-mbs fee schedule · outpatient | $205.50 | $205.50 | $106.50 – $304.50 |
| 22 | MultiPlan all plans fee schedule · outpatient | $205.50 | $205.50 | $106.50 – $304.50 |
| 23 | Aetna aca fee schedule · outpatient | $219.20 | $219.20 | $113.60 – $324.80 |
| 24 | Aetna non-par products of apcn fee schedule · outpatient | $219.20 | $219.20 | $113.60 – $324.80 |
| 25 | Aetna whole health non-multitier fee schedule · outpatient | $219.20 | $219.20 | $113.60 – $324.80 |
Last updated: Mar 31, 2026
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