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    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Cholesterol, Total
    1 X $19.00 = $19.00
    Culture, Blood
    1 X $80.00 = $80.00
    Renal Function Panel
    1 X $20.00 = $20.00
    C-Reactive Protein (CRP), High Sensitivity
    2 X $32.00 = $64.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    HDL Cholesterol
    1 X $20.00 = $20.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Potassium, Serum
    1 X $18.50 = $18.50
    Subtotal $369.50
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