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    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Glutathione
    1 X $124.50 = $124.50
    Chloride
    1 X $18.00 = $18.00
    C-Reactive Protein (CRP)
    1 X $31.00 = $31.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    1 X $120.00 = $120.00
    C-Reactive Protein (CRP), High Sensitivity
    1 X $32.00 = $32.00
    Complete Blood Count (CBC)
    1 X $20.00 = $20.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Epstein Barr Nuclear Ag ,IgG
    1 X $46.50 = $46.50
    Folate
    1 X $23.00 = $23.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    Subtotal $787.50
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