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    Pregnancy Test, Serum (Quantitative)
    2 X $30.00 = $60.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Chloride
    1 X $18.00 = $18.00
    Bilirubin, Indirect
    2 X $22.50 = $45.00
    Glucose, Fasting, Plasma
    2 X $21.00 = $42.00
    Phosphorus, Serum
    2 X $18.50 = $37.00
    Hep A, B, C Ab Panel w/Reflex
    2 X $74.00 = $148.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    1 X $120.00 = $120.00
    Estrone (E1)
    1 X $47.00 = $47.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Fructosamine
    1 X $29.00 = $29.00
    ANA Screen + 11 ANA Components
    2 X $214.00 = $428.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    CA 19-9 Carbohydrate Antigen
    1 X $65.00 = $65.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    Subtotal $1,363.00
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