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    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Pregnancy Test, Serum (Quantitative)
    2 X $30.00 = $60.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    Antibody Screen
    1 X $30.00 = $30.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Cancer Panel, Male Extended (PSA, Free & Total, CEA, CA 19-9, AFP, HCG
    1 X $140.00 = $140.00
    Arthritis Panel
    1 X $90.00 = $90.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Subtotal $781.00
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