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    Estriol (E3)
    2 X $47.00 = $94.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Bilirubin, Total
    1 X $18.50 = $18.50
    Cholesterol, Total
    2 X $19.00 = $38.00
    Hep B Core Ab, IgM
    2 X $44.00 = $88.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Anemia Panel
    4 X $44.00 = $176.00
    Alpha-Fetoprotein (AFP) (Tumor Marker)
    1 X $39.00 = $39.00
    Potassium, Plasma
    1 X $21.50 = $21.50
    Culture, Mycobacteria (AFB)
    4 X $48.00 = $192.00
    Hep C Ab
    1 X $44.00 = $44.00
    Obstetric Panel
    1 X $60.00 = $60.00
    Glutathione
    1 X $124.50 = $124.50
    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    2 X $120.00 = $240.00
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Fibrinogen
    1 X $34.00 = $34.00
    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Subtotal $1,376.50
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