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    DNA Ab., d-s
    2 X $34.00 = $68.00
    PSA Free and Total
    2 X $40.00 = $80.00
    Human Chorionic Gonadotropin HCG (Testicular Tumor)
    1 X $27.00 = $27.00
    Protein, Total
    3 X $18.50 = $55.50
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Luteinizing Hormone (LH)
    1 X $30.00 = $30.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Immunoglobulins G, A, M
    1 X $65.50 = $65.50
    Epstein Barr Early Ag, IgG
    2 X $46.50 = $93.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Reverse T3
    1 X $54.00 = $54.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Immunoglobulin A (IgA Total)
    1 X $40.00 = $40.00
    Subtotal $787.50
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