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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
    1 X $19.00 = $19.00
    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
    Subtotal $375.00
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