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    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    T-Uptake
    2 X $30.00 = $60.00
    Chloride
    1 X $18.00 = $18.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Salivary Cortisol x4
    1 X $114.00 = $114.00
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Subtotal $427.00
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