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    Iron, Total
    1 X $20.00 = $20.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Rubella IgM
    1 X $44.50 = $44.50
    Sickle Cell Screen (Hemoglobin Solubility)
    1 X $107.00 = $107.00
    Saliva Hormone Female Evaluator (11 Days)
    1 X $364.00 = $364.00
    Bilirubin, Total
    1 X $18.50 = $18.50
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Lipid Panel
    1 X $24.00 = $24.00
    Hep B Surface Ab
    1 X $44.00 = $44.00
    Mono Test (Epstein Barr Heterophile Ag IgM)
    1 X $32.50 = $32.50
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Renal Function Panel
    1 X $20.00 = $20.00
    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
    Subtotal $963.50
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