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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Lipoprotein(a)
    1 X $37.00 = $37.00
    Magnesium RBC
    1 X $35.50 = $35.50
    Phosphorus, Serum
    1 X $18.50 = $18.50
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Estrogens, Total
    1 X $65.00 = $65.00
    Renal Function Panel
    1 X $20.00 = $20.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Hep B Core Ab, Total w /Reflex to IgM
    1 X $44.00 = $44.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Subtotal $412.50
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