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The federal government paid providers more to conduct urine drug tests in 2014 than it spent on the four most recommended cancer screenings combined. (Photo: Shutterstock)

The cups of urine travel by express mail to the Comprehensive Pain Specialists lab in an industrial park in Brentwood, Tenn., not far from Nashville. Most days bring more than 700 of the little sealed cups from clinics across 10 states, wrapped in red-tagged waste bags. The network treats about 48,000 people each month, and many will be tested for drugs.

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