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    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Complement C4
    1 X $32.50 = $32.50
    Prostatic Acid Phosphate
    2 X $60.00 = $120.00
    Hep B Surface Ag w/Con
    2 X $55.00 = $110.00
    SS-B (La) Abs
    2 X $35.50 = $71.00
    LDL Cholesterol, measured
    1 X $20.00 = $20.00
    Herpes I & II IgG
    2 X $65.00 = $130.00
    Immunoglobulin M (IgM Total)
    1 X $40.00 = $40.00
    Platelet Count
    1 X $18.50 = $18.50
    Progesterone
    1 X $32.00 = $32.00
    Pre-Albumin
    1 X $72.50 = $72.50
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Hep B Core Ab, IgM
    1 X $44.00 = $44.00
    Testosterone, Bioavailable (Total, Free, Bio-Available, SHBG)
    1 X $54.00 = $54.00
    IGF-BP3
    1 X $74.00 = $74.00
    Prolactin
    1 X $30.00 = $30.00
    Sickle Cell Screen (Hemoglobin Solubility)
    2 X $107.00 = $214.00
    Cyclic Citrullinated Peptide IgG Ab.
    1 X $41.50 = $41.50
    Human Chorionic Gonadotropin HCG (Testicular Tumor)
    1 X $27.00 = $27.00
    Protein, Total
    1 X $18.50 = $18.50
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Subtotal $1,278.50
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