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    Estriol (E3)
    1 X $47.00 = $47.00
    Magnesium RBC
    1 X $35.50 = $35.50
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Immunoglobulin A (IgA Total)
    1 X $40.00 = $40.00
    Reticulocyte Count
    1 X $18.00 = $18.00
    T-Uptake
    1 X $30.00 = $30.00
    Hep B Core Ab, Total w /Reflex to IgM
    1 X $44.00 = $44.00
    ABO Group & RH Type
    2 X $30.00 = $60.00
    Epstein Barr Heterophile Ag ,IgM
    2 X $32.50 = $65.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Luteinizing Hormone (LH)
    1 X $30.00 = $30.00
    Fibrinogen
    1 X $34.00 = $34.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Sed Rate (Westergren)
    1 X $24.00 = $24.00
    Subtotal $689.50
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