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    Partial Thromboplastin Time (PTT), Activated
    2 X $19.50 = $39.00
    Ferritin
    2 X $23.00 = $46.00
    Saliva Hormone Opendx Deluxe
    1 X $112.00 = $112.00
    Creatinine
    1 X $18.00 = $18.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    T-Uptake
    1 X $30.00 = $30.00
    Cytomegalovirus, IgM
    2 X $49.00 = $98.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    LDL Cholesterol, measured
    1 X $20.00 = $20.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Culture, Blood
    1 X $80.00 = $80.00
    Subtotal $616.50
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