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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Homocysteine
    1 X $54.00 = $54.00
    Potassium, Plasma
    2 X $21.50 = $43.00
    Antibody Screen
    1 X $30.00 = $30.00
    Calcium, Serum
    1 X $19.00 = $19.00
    Mumps Abs, IgG
    1 X $34.00 = $34.00
    Lyme Disease Ab w/Reflex to Blot
    1 X $58.50 = $58.50
    Complete Blood Count (CBC)
    1 X $20.00 = $20.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Potassium, Serum
    1 X $18.50 = $18.50
    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Albumin
    1 X $18.50 = $18.50
    Scl-70 Abs
    1 X $60.50 = $60.50
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Subtotal $539.50
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