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    Magnesium RBC
    1 X $35.50 = $35.50
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Protein, Total
    2 X $18.50 = $37.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Reticulocyte Count
    1 X $18.00 = $18.00
    Serotonin, Serum
    2 X $115.50 = $231.00
    Herpes I & II IgG
    2 X $65.00 = $130.00
    Immunoglobulins G, A, M
    2 X $65.50 = $131.00
    Hep B Surface Ag w/Con
    2 X $55.00 = $110.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Epstein Barr Heterophile Ag ,IgM
    1 X $32.50 = $32.50
    Scl-70 Abs
    1 X $60.50 = $60.50
    Transferrin
    1 X $23.00 = $23.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Testosterone, Total
    1 X $30.00 = $30.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    Complement C3
    1 X $32.00 = $32.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Subtotal $1,212.00
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