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    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Obstetric Panel
    1 X $60.00 = $60.00
    Phosphorus, Serum
    2 X $18.50 = $37.00
    MTHFR
    1 X $214.00 = $214.00
    Subtotal $542.50
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