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
HC HTLV I/II ANTIBODY, DONOR EVAL
Breaux Bridge, LA
See all hospitals reporting CPT 86687 →Price type
St Martin Hospital Inc’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: 10 payers, 14 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 all payor other · outpatient | $6.93 | $6.93 | $6.16 – $7.70 |
| 2 | Bcbs La all payor other · outpatient | $6.93 | $6.93 | $6.16 – $7.70 |
| 3 | Humana all payor other · outpatient | $6.93 | $6.93 | $6.16 – $7.70 |
| 4 | Optum all payor other · outpatient | $6.93 | $6.93 | $6.16 – $7.70 |
| 5 | UnitedHealthcare all payor other · outpatient | $6.93 | $6.93 | $6.16 – $7.70 |
| 6 | WellCare all payor other · outpatient | $6.93 | $6.93 | $6.16 – $7.70 |
| 7 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $8.04 | $8.04 | $7.14 – $8.93 |
| 8 | Aetna Better Health all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | Amerihealth Caritas all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | Humana all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 12 | Bcbs La all payor fee schedule · outpatient | $22.31 | $22.31 | $21.38 – $23.24 |
| 13 | Cigna all payor other · outpatient | $26.78 | $26.78 | $23.80 – $29.75 |
| 14 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $28.67 | $28.67 | $25.48 – $31.85 |
Last updated: Apr 1, 2026
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