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    Thyroid-Stimulating Hormone (TSH)
    1 X $30.00 = $30.00
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Tri-iodothyronine T3 Total
    4 X $30.00 = $120.00
    Epstein Barr Viral Capsid Ag ,IgM
    2 X $46.50 = $93.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Apolipoprotein A-1 (Apo-A)
    3 X $49.00 = $147.00
    Apolipoprotein B (Apo-B)
    1 X $49.00 = $49.00
    Alkaline Phosphatase
    1 X $19.00 = $19.00
    Alanine Aminotransferase (ALT)
    2 X $20.00 = $40.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    3 X $120.00 = $360.00
    Thyroid Panel (Free T3, Free T4, TSH)
    1 X $48.00 = $48.00
    Subtotal $1,254.00
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