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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    CoQ10
    1 X $89.50 = $89.50
    Blood Parasite Smear
    1 X $50.00 = $50.00
    Glucose
    1 X $20.00 = $20.00
    CA 19-9 Carbohydrate Antigen
    1 X $65.00 = $65.00
    Fructosamine
    1 X $29.00 = $29.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Obstetric Panel
    1 X $60.00 = $60.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Cancer Panel, Female Extended (AFP, B-HCG Qual., CEA, CA 15-3, CA 19-9, CA 125)
    1 X $169.00 = $169.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Apolipoprotein B (Apo-B)
    1 X $49.00 = $49.00
    Subtotal $711.50
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