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    Thyroxine (T4) Total
    2 X $30.00 = $60.00
    Measles, Mumps, Rubella
    1 X $76.00 = $76.00
    Reticulocyte Count
    1 X $18.00 = $18.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    ANA Screen
    1 X $34.00 = $34.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Catecholamines, Fractionated
    1 X $90.50 = $90.50
    Hep B Surface Ab
    1 X $44.00 = $44.00
    Subtotal $460.50
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