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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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