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    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Lyme Disease Ab w/Reflex to Blot
    1 X $58.50 = $58.50
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Lipase
    1 X $20.00 = $20.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Glucose
    1 X $20.00 = $20.00
    Protein, Total
    1 X $18.50 = $18.50
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Hep B Core Ab, Total w /Reflex to IgM
    1 X $44.00 = $44.00
    Gamma Glutamyl Transpeptidase (GGT)
    1 X $20.00 = $20.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Lipoprotein(a)
    1 X $37.00 = $37.00
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Subtotal $526.00
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