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    Glucose
    1 X $20.00 = $20.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Free Thyroxine Index
    2 X $45.00 = $90.00
    Ferritin
    1 X $23.00 = $23.00
    Blood Parasite Smear
    1 X $50.00 = $50.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    ABO Group & RH Type
    1 X $30.00 = $30.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Haptoglobin
    1 X $46.00 = $46.00
    ANA Screen
    1 X $34.00 = $34.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    CA 19-9 Carbohydrate Antigen
    1 X $65.00 = $65.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Subtotal $627.50
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