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    Glucose
    1 X $20.00 = $20.00
    Creatinine
    1 X $18.00 = $18.00
    HDL Cholesterol
    1 X $20.00 = $20.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Epstein Barr Nuclear Ag ,IgG
    1 X $46.50 = $46.50
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    H. Pylori Ab., IgG
    1 X $34.00 = $34.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    Culture, Blood
    1 X $80.00 = $80.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Folate
    1 X $23.00 = $23.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Subtotal $775.50
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