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    Lyme Disease Ab w/Reflex to Blot
    2 X $58.50 = $117.00
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    Free Thyroxine Index
    2 X $45.00 = $90.00
    Magnesium
    1 X $18.50 = $18.50
    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Apo E Genotype
    1 X $340.00 = $340.00
    Pre-Albumin
    2 X $72.50 = $145.00
    Amylase
    1 X $19.00 = $19.00
    Subtotal $803.50
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