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    Renal Function Panel
    1 X $20.00 = $20.00
    Transferrin
    1 X $23.00 = $23.00
    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    Rubella IgM
    1 X $44.50 = $44.50
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Vitamin B12
    1 X $23.00 = $23.00
    PSA Free and Total
    1 X $40.00 = $40.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Triglycerides
    1 X $19.00 = $19.00
    Glucose, Gestational, 1Hr
    5 X $22.00 = $110.00
    Electrolyte Panel
    2 X $18.00 = $36.00
    Mono Test (Epstein Barr Heterophile Ag IgM)
    1 X $32.50 = $32.50
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Lithium (Eskalith)
    1 X $37.00 = $37.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Subtotal $670.00
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