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    Bilirubin, Direct
    1 X $19.00 = $19.00
    Immunoglobulin M (IgM Total)
    1 X $40.00 = $40.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Deamidated Gliadin Peptide IgG
    2 X $41.50 = $83.00
    Transferrin
    1 X $23.00 = $23.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Ehrlichia chaffeensis Abs (IgG, IgM)
    1 X $105.00 = $105.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Reverse T3
    2 X $54.00 = $108.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Immunoglobulin A (IgA Total)
    2 X $40.00 = $80.00
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Complement C4
    1 X $32.50 = $32.50
    Protein, Total
    1 X $18.50 = $18.50
    Complete Blood Count (CBC) w/ Differential
    1 X $20.00 = $20.00
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    Hep B Core Ab, IgM
    1 X $44.00 = $44.00
    Herpes I & II IgG
    2 X $65.00 = $130.00
    Lipoprotein(a)
    1 X $37.00 = $37.00
    Creatinine
    1 X $18.00 = $18.00
    Culture, Blood
    1 X $80.00 = $80.00
    Hep C Ab
    1 X $44.00 = $44.00
    Subtotal $1,251.50
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