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    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    DHEA-Sulfate
    1 X $30.00 = $30.00
    Complement C4
    1 X $32.50 = $32.50
    Sodium
    1 X $18.00 = $18.00
    DNA Ab., d-s
    1 X $34.00 = $34.00
    Transferrin
    1 X $23.00 = $23.00
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    Complement C3
    1 X $32.00 = $32.00
    Subtotal $375.50
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