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    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    ANA Screen + 11 ANA Components
    3 X $214.00 = $642.00
    Epstein Barr Viral Capsid Ag ,IgM
    2 X $46.50 = $93.00
    Estrogens, Total
    2 X $65.00 = $130.00
    Estradiol (E2)
    2 X $30.00 = $60.00
    Estrone (E1)
    2 X $47.00 = $94.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    5 X $120.00 = $600.00
    Estriol (E3)
    2 X $47.00 = $94.00
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    C-Reactive Protein (CRP)
    1 X $31.00 = $31.00
    Cancer Panel, Female (CA 15-3, CA 19-9, CA 125)
    2 X $121.00 = $242.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Bilirubin, Indirect
    2 X $22.50 = $45.00
    Rubella IgM
    1 X $44.50 = $44.50
    Cancer Panel, Female Extended (AFP, B-HCG Qual., CEA, CA 15-3, CA 19-9, CA 125)
    2 X $169.00 = $338.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    Culture, Blood
    1 X $80.00 = $80.00
    Creatinine
    1 X $18.00 = $18.00
    Epstein Barr Nuclear Ag ,IgG
    1 X $46.50 = $46.50
    Subtotal $2,777.00
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