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    Hep C Ab
    1 X $44.00 = $44.00
    Lipase
    1 X $20.00 = $20.00
    Prothrombin Time (PT) (INR)
    2 X $20.00 = $40.00
    Rheumatoid Factor
    2 X $33.00 = $66.00
    Luteinizing Hormone (LH)
    1 X $30.00 = $30.00
    Lipid Panel
    1 X $24.00 = $24.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Saliva Hormone Female Evaluator Plus (11 Days)
    1 X $394.00 = $394.00
    Platelet Count
    1 X $18.50 = $18.50
    Subtotal $753.50
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