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    Catecholamines, Fractionated
    1 X $90.50 = $90.50
    DNA Ab., d-s
    1 X $34.00 = $34.00
    Sm (Smith) Abs
    2 X $48.00 = $96.00
    PSA Free and Total
    2 X $40.00 = $80.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Reverse T3
    1 X $54.00 = $54.00
    Uric Acid, Serum
    1 X $18.00 = $18.00
    Renal Function Panel
    1 X $20.00 = $20.00
    Thyroxine Free (FT4)
    2 X $30.00 = $60.00
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    Saliva Hormone Opendx Deluxe
    1 X $112.00 = $112.00
    Ferritin
    1 X $23.00 = $23.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Subtotal $708.00
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