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    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    2 X $45.00 = $90.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Glutathione
    1 X $124.50 = $124.50
    Apo E Genotype
    3 X $340.00 = $1,020.00
    Lithium (Eskalith)
    1 X $37.00 = $37.00
    Folate
    2 X $23.00 = $46.00
    Subtotal $1,448.50
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