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    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    T-Uptake
    2 X $30.00 = $60.00
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Transferrin
    1 X $23.00 = $23.00
    Subtotal $273.50
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