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    Obstetric Panel
    2 X $60.00 = $120.00
    H. Pylori Ab., IgG
    1 X $34.00 = $34.00
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Hep A Ab Total w/Reflex to IgM
    2 X $44.00 = $88.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Fructosamine
    2 X $29.00 = $58.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Glutathione
    2 X $124.50 = $249.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Folate
    1 X $23.00 = $23.00
    Growth Hormone
    1 X $49.00 = $49.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Subtotal $1,187.50
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