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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    Estrogens, Total
    2 X $65.00 = $130.00
    Sodium
    1 X $18.00 = $18.00
    Jo-1 Abs
    1 X $79.00 = $79.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    CardioPro Advanced
    1 X $214.00 = $214.00
    Thyroxine Free (FT4)
    2 X $30.00 = $60.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    sd LDL- (Small Dense Lipid)
    1 X $49.00 = $49.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Immunoglobulin A (IgA Total)
    1 X $40.00 = $40.00
    Subtotal $919.50
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