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    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    CA 15-3 Cancer Antigen
    1 X $50.00 = $50.00
    Glucose, Gestational, 1Hr
    3 X $22.00 = $66.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Creatinine
    2 X $18.00 = $36.00
    CA 27.29 Cancer Antigen
    1 X $44.00 = $44.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Glucose, Fasting, Plasma
    2 X $21.00 = $42.00
    Fructosamine
    1 X $29.00 = $29.00
    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    C-Reactive Protein (CRP), High Sensitivity
    1 X $32.00 = $32.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    Folate
    1 X $23.00 = $23.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    1 X $120.00 = $120.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Catecholamines, Fractionated
    1 X $90.50 = $90.50
    Chloride
    1 X $18.00 = $18.00
    Subtotal $806.50
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