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
Dulles, VA
See all hospitals reporting CPT 86687 →Price type
Stonesprings Hospital Center’s median price of $10 is 13% below the median hospital's median price ($11), higher than 31% 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, 17 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 | Humana trcr fee schedule · outpatient | $6.98 | $6.98 | $6.98 – $6.98 |
| 2 | Humana mcr fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | UnitedHealthcare vaccn fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | UnitedHealthcare mgmcr fee schedule · outpatient | $9.14 | $9.14 | $9.14 – $9.14 |
| 6 | Aetna mgmcr fee schedule · outpatient | $9.19 | $9.19 | $9.19 – $9.19 |
| 7 | Anthem mgmcr fee schedule · outpatient | $9.36 | $9.36 | $9.36 – $9.36 |
| 8 | Cigna Healthspring mcr fee schedule · outpatient | $9.45 | $9.45 | $9.45 – $9.45 |
| 9 | Cigna hmo fee schedule · outpatient | $34.61 | $34.61 | $34.61 – $34.61 |
| 10 | Cigna ppo fee schedule · outpatient | $34.61 | $34.61 | $34.61 – $34.61 |
| 11 | Cigna ifp fee schedule · outpatient | $36.32 | $36.32 | $36.32 – $36.32 |
| 12 | Anthem hix fee schedule · outpatient | $44.22 | $44.22 | $44.22 – $44.22 |
| 13 | Anthem hpn fee schedule · outpatient | $44.68 | $44.68 | $44.68 – $44.68 |
| 14 | Carefirst hmo fee schedule · outpatient | $47.58 | $47.58 | $47.58 – $47.58 |
| 15 | Carefirst rpn fee schedule · outpatient | $47.58 | $47.58 | $47.58 – $47.58 |
| 16 | Anthem hmo fee schedule · outpatient | $47.91 | $47.91 | $47.91 – $47.91 |
| 17 | Anthem ppo fee schedule · outpatient | $47.91 | $47.91 | $47.91 – $47.91 |
Last updated: Mar 1, 2026
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