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    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Glutathione
    2 X $124.50 = $249.00
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    ANA Screen w/Reflex to Components
    2 X $34.00 = $68.00
    Estrone (E1)
    1 X $47.00 = $47.00
    Complete Blood Count (CBC)
    2 X $20.00 = $40.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Pregnancy Test, Serum (Quantitative)
    2 X $30.00 = $60.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    H. Pylori Ab., IgG
    2 X $34.00 = $68.00
    Myoglobin
    2 X $44.00 = $88.00
    Cancer Panel, Female (CA 15-3, CA 19-9, CA 125)
    1 X $121.00 = $121.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Folate
    1 X $23.00 = $23.00
    Chloride
    1 X $18.00 = $18.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Creatinine
    1 X $18.00 = $18.00
    Obstetric Panel
    1 X $60.00 = $60.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Subtotal $1,221.50
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