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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
    2 X $32.50 = $65.00
    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
    3 X $49.00 = $147.00
    Complement C3
    1 X $32.00 = $32.00
    Troponin-I
    1 X $44.00 = $44.00
    Epstein Barr Early Ag, IgG
    2 X $46.50 = $93.00
    Thyroid Panel (Free T3, Free T4, TSH)
    1 X $48.00 = $48.00
    Mono Test (Epstein Barr Heterophile Ag IgM)
    2 X $32.50 = $65.00
    Apolipoprotein Evaluation (Apo-A-1, Apo-B, Lpa)
    4 X $105.00 = $420.00
    Calcium, Serum
    1 X $19.00 = $19.00
    Zinc
    1 X $40.00 = $40.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Subtotal $1,286.50
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