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    Estriol (E3)
    1 X $47.00 = $47.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Hep B Surface Ag w/Con
    2 X $55.00 = $110.00
    Partial Thromboplastin Time (PTT), Activated
    3 X $19.50 = $58.50
    Immunoglobulin A (IgA Total)
    1 X $40.00 = $40.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    CardioPro Advanced
    1 X $214.00 = $214.00
    Human Chorionic Gonadotropin HCG (Testicular Tumor)
    1 X $27.00 = $27.00
    PSA Free and Total
    3 X $40.00 = $120.00
    Hep A Ab, IgM
    2 X $44.00 = $88.00
    Reverse T3
    3 X $54.00 = $162.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    ABO Group & RH Type
    1 X $30.00 = $30.00
    Magnesium RBC
    1 X $35.50 = $35.50
    Epstein Barr Heterophile Ag ,IgM
    1 X $32.50 = $32.50
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Subtotal $1,251.50
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