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    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    Human Chorionic Gonadotropin (HCG), Total
    2 X $30.00 = $60.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    2 X $37.50 = $75.00
    Growth Hormone
    2 X $49.00 = $98.00
    Fructosamine
    2 X $29.00 = $58.00
    Phosphorus, Serum
    2 X $18.50 = $37.00
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Subtotal $578.00
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