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    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Fructosamine
    2 X $29.00 = $58.00
    Estradiol (E2)
    2 X $30.00 = $60.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Copper
    3 X $41.00 = $123.00
    Haptoglobin
    1 X $46.00 = $46.00
    Pregnancy Test, Serum (Quantitative)
    2 X $30.00 = $60.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Chloride
    2 X $18.00 = $36.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Hemoglobin A1C
    2 X $26.00 = $52.00
    CA 27.29 Cancer Antigen
    1 X $44.00 = $44.00
    Human Chorionic Gonadotropin (HCG), Total
    2 X $30.00 = $60.00
    Chromatin
    2 X $91.00 = $182.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    Sed Rate (Westergren)
    1 X $24.00 = $24.00
    Growth Hormone
    1 X $49.00 = $49.00
    Estrone (E1)
    2 X $47.00 = $94.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Subtotal $1,158.50
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