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    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    Iron, Total
    2 X $20.00 = $40.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Magnesium
    1 X $18.50 = $18.50
    Thyroid Panel (Free T3, Free T4, TSH)
    2 X $48.00 = $96.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    2 X $45.00 = $90.00
    HDL Cholesterol
    1 X $20.00 = $20.00
    Hepatic Function Panel
    2 X $20.00 = $40.00
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Prolactin
    1 X $30.00 = $30.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Iron Total Binding Capacity, Total
    1 X $29.00 = $29.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Subtotal $630.50
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