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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
    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)
    1 X $84.00 = $84.00
    Subtotal $535.00
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