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    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Iron Total Binding Capacity, Total
    1 X $29.00 = $29.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Thyroid Panel (Free T3, Free T4, TSH)
    1 X $48.00 = $48.00
    Rheumatoid Factor
    1 X $33.00 = $33.00
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Reticulocyte Count
    1 X $18.00 = $18.00
    T-Uptake
    1 X $30.00 = $30.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    2 X $95.00 = $190.00
    Testosterone, Free & Total w/SHBG
    2 X $43.00 = $86.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Tissue Transglutaminase IgA
    1 X $41.50 = $41.50
    Thyroid Binding Globulin
    1 X $100.00 = $100.00
    Malaria Smear (Blood Parasite)
    1 X $50.00 = $50.00
    Pregnenolone
    1 X $75.00 = $75.00
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Subtotal $978.50
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