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    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Free Thyroxine Index
    2 X $45.00 = $90.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Glutathione
    3 X $124.50 = $373.50
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Folate
    1 X $23.00 = $23.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Growth Hormone
    1 X $49.00 = $49.00
    Fructosamine
    1 X $29.00 = $29.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Obstetric Panel
    1 X $60.00 = $60.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Catecholamines, Fractionated
    1 X $90.50 = $90.50
    Cholesterol, Total
    1 X $19.00 = $19.00
    Subtotal $1,009.50
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