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    Comprehensive Metabolic Panel
    2 X $20.50 = $41.00
    Estriol (E3)
    2 X $47.00 = $94.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Chloride
    1 X $18.00 = $18.00
    Hep A Ab Total w/Reflex to IgM
    4 X $44.00 = $176.00
    Obstetric Panel
    4 X $60.00 = $240.00
    Complete Blood Count (CBC)
    1 X $20.00 = $20.00
    Growth Hormone
    2 X $49.00 = $98.00
    ANA Screen w/Reflex to Components
    2 X $34.00 = $68.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    Fructosamine
    3 X $29.00 = $87.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Estrone (E1)
    1 X $47.00 = $47.00
    ANA Screen + 11 ANA Components
    1 X $214.00 = $214.00
    Folate
    1 X $23.00 = $23.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Human Chorionic Gonadotropin (HCG), Total
    2 X $30.00 = $60.00
    Pregnancy Test, Serum (Quantitative)
    2 X $30.00 = $60.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    2 X $120.00 = $240.00
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    ABO Group & RH Type
    1 X $30.00 = $30.00
    Culture, Blood
    1 X $80.00 = $80.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Subtotal $2,064.50
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