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    Culture, Blood
    1 X $80.00 = $80.00
    Follicle-Stimulating Hormone (FSH)
    3 X $30.00 = $90.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Glucose
    1 X $20.00 = $20.00
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Sickle Cell Screen (Hemoglobin Solubility)
    1 X $107.00 = $107.00
    Mumps Abs, IgG
    1 X $34.00 = $34.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Parathyroid Hormone (PTH), Intact
    1 X $34.00 = $34.00
    Herpes I, IgG
    1 X $35.00 = $35.00
    Rubella IgM
    2 X $44.50 = $89.00
    Cancer Panel, Female Extended (AFP, B-HCG Qual., CEA, CA 15-3, CA 19-9, CA 125)
    2 X $169.00 = $338.00
    Myoglobin
    2 X $44.00 = $88.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Blood Parasite Smear
    1 X $50.00 = $50.00
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Magnesium
    1 X $18.50 = $18.50
    DHEA-Sulfate
    1 X $30.00 = $30.00
    Subtotal $1,463.50
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