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    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    Estriol (E3)
    1 X $47.00 = $47.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Mono Test (Epstein Barr Heterophile Ag IgM)
    1 X $32.50 = $32.50
    Hep C Ab
    1 X $44.00 = $44.00
    SHBG (Sex Hormone Binding Globulin)
    1 X $34.00 = $34.00
    Subtotal $384.50
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