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    Free Thyroxine Index
    2 X $45.00 = $90.00
    Ribosomal P Abs
    1 X $28.00 = $28.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Folate
    1 X $23.00 = $23.00
    Bilirubin, Total
    1 X $18.50 = $18.50
    Glucose
    1 X $20.00 = $20.00