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    Thyroxine Free (FT4)
    4 X $30.00 = $120.00
    Testosterone, Free & Total w/SHBG
    2 X $43.00 = $86.00
    Chloride
    1 X $18.00 = $18.00
    Antibody Screen
    1 X $30.00 = $30.00
    Sodium
    3 X $18.00 = $54.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    DNA Ab., d-s
    1 X $34.00 = $34.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Rubella Immune Status
    2 X $32.00 = $64.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Subtotal $631.00
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