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    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Free Thyroxine Index
    2 X $45.00 = $90.00
    Cancer Panel, Female (CA 15-3, CA 19-9, CA 125)
    1 X $121.00 = $121.00
    Antibody Screen
    1 X $30.00 = $30.00
    Follicle-Stimulating Hormone (FSH)
    2 X $30.00 = $60.00
    Folate
    1 X $23.00 = $23.00
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Hep B Core Ab, IgM
    1 X $44.00 = $44.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Thyroid Binding Globulin
    1 X $100.00 = $100.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Blood Parasite Smear
    1 X $50.00 = $50.00
    Creatinine
    2 X $18.00 = $36.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    ABO Group & RH Type
    1 X $30.00 = $30.00
    Apolipoprotein B (Apo-B)
    1 X $49.00 = $49.00
    Vitamin B12
    1 X $23.00 = $23.00
    Subtotal $1,057.50
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