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    Estriol (E3)
    1 X $47.00 = $47.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Human Chorionic Gonadotropin (HCG), Total
    2 X $30.00 = $60.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Epstein Barr Viral Capsid Ag ,IgM
    2 X $46.50 = $93.00
    Hep C Ab
    1 X $44.00 = $44.00
    Zinc
    1 X $40.00 = $40.00
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Immunoglobulin E (IgE Total)
    1 X $34.00 = $34.00
    Albumin
    2 X $18.50 = $37.00
    Tissue Transglutaminase IgA
    1 X $41.50 = $41.50
    MTHFR
    1 X $214.00 = $214.00
    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
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Folate
    1 X $23.00 = $23.00
    Subtotal $1,134.00
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