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    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Rubella IgM
    1 X $44.50 = $44.50
    Estradiol (E2)
    1 X $30.00 = $30.00
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Thyroid Binding Globulin
    1 X $100.00 = $100.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Aspartate Aminotransferase (AST)
    1 X $20.00 = $20.00
    Sodium
    1 X $18.00 = $18.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Subtotal $422.50
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