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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
    2 X $19.50 = $39.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Immunoglobulin M (IgM Total)
    1 X $40.00 = $40.00
    Reticulocyte Count
    2 X $18.00 = $36.00
    Potassium, Serum
    1 X $18.50 = $18.50
    PLAC TEST (Lp-PLA2)
    2 X $84.00 = $168.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Hep A Ab, IgM
    1 X $44.00 = $44.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Cytomegalovirus, IgM
    2 X $49.00 = $98.00
    Epstein Barr Nuclear Ag ,IgG
    1 X $46.50 = $46.50
    Subtotal $978.50
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