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    Prostatic Acid Phosphate
    3 X $60.00 = $180.00
    Complete Blood Count (CBC) w/ Differential
    2 X $20.00 = $40.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Follicle-Stimulating Hormone (FSH)
    2 X $30.00 = $60.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Leptin
    1 X $102.00 = $102.00
    Potassium, Plasma
    1 X $21.50 = $21.50
    C-Reactive Protein (CRP), High Sensitivity
    1 X $32.00 = $32.00
    Hep A Ab, IgM
    1 X $44.00 = $44.00
    Jo-1 Abs
    1 X $79.00 = $79.00
    Thyroid Panel Comprehensive (FT3, FT4, TSH, TGA Abs, TPO Abs, RT3)
    1 X $124.00 = $124.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Basic Metabolic Panel
    1 X $19.00 = $19.00
    Scl-70 Abs
    1 X $60.50 = $60.50
    Reticulocyte Count
    1 X $18.00 = $18.00
    Epstein Barr Heterophile Ag ,IgM
    1 X $32.50 = $32.50
    Transferrin
    1 X $23.00 = $23.00
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    Immunoglobulin M (IgM Total)
    1 X $40.00 = $40.00
    Lipase
    1 X $20.00 = $20.00
    Subtotal $1,120.00
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