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    Amylase
    1 X $19.00 = $19.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Bilirubin, Total
    1 X $18.50 = $18.50
    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Cancer Panel, Male Extended (PSA, Free & Total, CEA, CA 19-9, AFP, HCG
    2 X $140.00 = $280.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    1 X $120.00 = $120.00
    Vitamin B12
    1 X $23.00 = $23.00
    Complement C4
    1 X $32.50 = $32.50
    Apo E Genotype
    1 X $340.00 = $340.00
    Herpes I, IgG
    1 X $35.00 = $35.00
    Subtotal $920.50
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