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    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Epstein Barr Viral Capsid Ag ,IgG
    2 X $46.50 = $93.00
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Potassium, Serum
    1 X $18.50 = $18.50
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Pre-Albumin
    1 X $72.50 = $72.50
    H. Pylori Ab., IgG
    1 X $34.00 = $34.00
    Aspartate Aminotransferase (AST)
    1 X $20.00 = $20.00
    Growth Hormone
    1 X $49.00 = $49.00
    Sickle Cell Screen (Hemoglobin Solubility)
    1 X $107.00 = $107.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Immunoglobulin E (IgE Total)
    1 X $34.00 = $34.00
    CA 27.29 Cancer Antigen
    1 X $44.00 = $44.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    1 X $120.00 = $120.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Subtotal $765.00
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