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    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Bilirubin, Direct
    2 X $19.00 = $38.00
    C-Reactive Protein (CRP), High Sensitivity
    1 X $32.00 = $32.00
    CA 19-9 Carbohydrate Antigen
    1 X $65.00 = $65.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    ANA Screen
    1 X $34.00 = $34.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Rubella IgM
    1 X $44.50 = $44.50
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Scl-70 Abs
    1 X $60.50 = $60.50
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Cancer Panel, Male Extended (PSA, Free & Total, CEA, CA 19-9, AFP, HCG
    1 X $140.00 = $140.00
    Hep A Ab, IgM
    1 X $44.00 = $44.00
    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Thyroid Peroxidase Abs
    1 X $35.00 = $35.00
    Blood Parasite Smear
    1 X $50.00 = $50.00
    Complete Blood Count (CBC)
    1 X $20.00 = $20.00
    Subtotal $1,075.50
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