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    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Antibody Screen
    1 X $30.00 = $30.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Transferrin
    1 X $23.00 = $23.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Subtotal $315.00
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