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    Pre-Albumin
    2 X $72.50 = $145.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Luteinizing Hormone (LH)
    1 X $30.00 = $30.00
    Measles, Mumps, Rubella
    1 X $76.00 = $76.00
    Progesterone
    1 X $32.00 = $32.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    PLAC TEST (Lp-PLA2)
    1 X $84.00 = $84.00
    Testosterone, Free & Total w/SHBG
    1 X $43.00 = $43.00
    Torch Panel (TOX, RUB, CMV, HRP1, HRP2)
    1 X $154.00 = $154.00
    Triglycerides
    1 X $19.00 = $19.00
    Thyroid-Stimulating Hormone (TSH)
    1 X $30.00 = $30.00
    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    Complete Blood Count (CBC) w/ Differential
    1 X $20.00 = $20.00
    Vitamin B12
    1 X $23.00 = $23.00
    Platelet Count
    2 X $18.50 = $37.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Ehrlichia chaffeensis Abs (IgG, IgM)
    1 X $105.00 = $105.00
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Troponin-I
    1 X $44.00 = $44.00
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Sodium
    1 X $18.00 = $18.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Subtotal $1,178.00
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