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    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    DHEA-Sulfate
    1 X $30.00 = $30.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    PLAC TEST (Lp-PLA2)
    1 X $84.00 = $84.00
    Complement C4
    1 X $32.50 = $32.50
    STD Panel
    1 X $84.00 = $84.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Jo-1 Abs
    1 X $79.00 = $79.00
    Magnesium
    1 X $18.50 = $18.50
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Gamma Glutamyl Transpeptidase (GGT)
    1 X $20.00 = $20.00
    Subtotal $612.00
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