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    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    Apo E Genotype
    1 X $340.00 = $340.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Complete Blood Count (CBC)
    1 X $20.00 = $20.00
    ANA Screen w/Reflex to Components
    2 X $34.00 = $68.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Cancer Panel, Female (CA 15-3, CA 19-9, CA 125)
    1 X $121.00 = $121.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    ANA Screen + 11 ANA Components
    2 X $214.00 = $428.00
    MTHFR
    1 X $214.00 = $214.00
    Mumps Abs, IgG
    1 X $34.00 = $34.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Jo-1 Abs
    1 X $79.00 = $79.00
    AutoImmune Analyzer
    1 X $214.00 = $214.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Albumin
    1 X $18.50 = $18.50
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Estrone (E1)
    1 X $47.00 = $47.00
    HDL Cholesterol
    1 X $20.00 = $20.00
    Chloride
    1 X $18.00 = $18.00
    Subtotal $2,238.50
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