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    Amenorrhea Panel
    1 X $84.00 = $84.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Magnesium RBC
    2 X $35.50 = $71.00
    Urea Nitrogen, (BUN) Serum
    2 X $18.50 = $37.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Subtotal $301.50
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