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    Hep A Ab Total w/Reflex to IgM
    2 X $44.00 = $88.00
    ANA Screen + 11 ANA Components
    1 X $214.00 = $214.00
    Growth Hormone
    1 X $49.00 = $49.00
    H. Pylori Ab., IgG
    1 X $34.00 = $34.00
    Chloride
    1 X $18.00 = $18.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    HDL Cholesterol
    1 X $20.00 = $20.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    1 X $120.00 = $120.00
    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Subtotal $736.50
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