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    Renal Function Panel
    1 X $20.00 = $20.00
    Catecholamines, Fractionated
    2 X $90.50 = $181.00
    ABO Group & RH Type
    1 X $30.00 = $30.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Cytomegalovirus, IgM
    2 X $49.00 = $98.00
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Thyroid Peroxidase Abs
    1 X $35.00 = $35.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    C-Reactive Protein (CRP)
    1 X $31.00 = $31.00
    Reverse T3
    2 X $54.00 = $108.00
    DNA Ab., d-s
    1 X $34.00 = $34.00
    Complement C4
    1 X $32.50 = $32.50
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    ANA Screen
    1 X $34.00 = $34.00
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Arthritis Panel
    1 X $90.00 = $90.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Subtotal $1,037.50
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