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    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Cortisol
    1 X $34.00 = $34.00
    Epstein Barr Nuclear Ag ,IgG
    1 X $46.50 = $46.50
    Complete Blood Count (CBC)
    1 X $20.00 = $20.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Hep A Ab, IgM
    1 X $44.00 = $44.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Chloride
    1 X $18.00 = $18.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    Subtotal $556.00
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