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    ANA Screen w/Reflex to Components
    2 X $34.00 = $68.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    2 X $45.00 = $90.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Glutathione
    2 X $124.50 = $249.00
    Apo E Genotype
    3 X $340.00 = $1,020.00
    Lithium (Eskalith)
    1 X $37.00 = $37.00
    Folate
    3 X $23.00 = $69.00
    Hep B Core Ab, Total w /Reflex to IgM
    1 X $44.00 = $44.00
    Cortisol
    1 X $34.00 = $34.00
    H. Pylori Ab., IgG
    2 X $34.00 = $68.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Iron Total Binding Capacity, Total
    1 X $29.00 = $29.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Fructosamine
    2 X $29.00 = $58.00
    Hep B Surface Ab
    1 X $44.00 = $44.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    Ribosomal P Abs
    1 X $28.00 = $28.00
    Mono Test (Epstein Barr Heterophile Ag IgM)
    1 X $32.50 = $32.50
    Platelet Count
    1 X $18.50 = $18.50
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Subtotal $2,257.50
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