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    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Lipase
    1 X $20.00 = $20.00
    T-Uptake
    1 X $30.00 = $30.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Myoglobin
    1 X $44.00 = $44.00
    Reverse T3
    1 X $54.00 = $54.00
    Immunoglobulin A (IgA Total)
    1 X $40.00 = $40.00
    Measles, Mumps, Rubella
    2 X $76.00 = $152.00
    Reticulocyte Count
    1 X $18.00 = $18.00
    Ferritin
    1 X $23.00 = $23.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    LDL Cholesterol, measured
    1 X $20.00 = $20.00
    Sickle Cell Screen (Hemoglobin Solubility)
    1 X $107.00 = $107.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Complete Blood Count (CBC) w/ Differential
    1 X $20.00 = $20.00
    Fibrinogen
    1 X $34.00 = $34.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Subtotal $800.50
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