Manual urinalysis test with examination using microscope
| 2020 CPT/HCPCS Primary Code | 81000 or 81001 |
| Negotiated Private Fee | $5.00 |
| Prossam | $7.00 |
| Champva | $3.17 |
| First Medical | $7.00 |
| First Medical Vital | $3.02 |
| Plan de Salud Menonita | $7.00 |
| Menonita Vital | $4.32 |
| Humana Gold plus/ Gold choice | $4.02 |
| Humana | $8.00 |
| Mapfre | $8.00 |
| Mcs Classicare | $4.02 |
| MCS Life | $5.34 |
| Medicare | $4.02 |
| MMM | $4.48 |
| MMM Vital | $2.81 |
| Panamerican Life | $8.00 |
| PMC | $4.48 |
| Tricare | $4.02 |
| Triple S Salud | $7.75 |
| Triple S Vital | $4.70 |
| Triple S Advantage | $7.84 |
| Negotiated Minimum Charge | $2.81 |
| Negotiated Maximus Charge | $8.00 |
| Discounted Cash Price | $4.00 |
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