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    Complement C4
    1 X $32.50 = $32.50
    Complete Blood Count (CBC) w/ Differential
    1 X $20.00 = $20.00
    Transferrin
    1 X $23.00 = $23.00
    Triglycerides
    1 X $19.00 = $19.00
    Epstein Barr Heterophile Ag ,IgM
    2 X $32.50 = $65.00
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    Reverse T3
    2 X $54.00 = $108.00
    DHEA-Sulfate
    1 X $30.00 = $30.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Basic Metabolic Panel
    1 X $19.00 = $19.00
    Subtotal $405.50
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