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    Chromatin
    2 X $91.00 = $182.00
    Hep A Ab Total w/Reflex to IgM
    2 X $44.00 = $88.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Copper
    1 X $41.00 = $41.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Epstein Barr Viral Capsid Ag ,IgM
    2 X $46.50 = $93.00
    Epstein Barr Nuclear Ag ,IgG
    1 X $46.50 = $46.50
    Fructosamine
    2 X $29.00 = $58.00
    Comprehensive Metabolic Panel
    5 X $20.50 = $102.50
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Growth Hormone
    1 X $49.00 = $49.00
    Chloride
    1 X $18.00 = $18.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Glutathione
    1 X $124.50 = $124.50
    Subtotal $1,208.50
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