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    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    T-Uptake
    2 X $30.00 = $60.00
    Chloride
    1 X $18.00 = $18.00
    SS-B (La) Abs
    2 X $35.50 = $71.00
    Salivary Cortisol x4
    1 X $114.00 = $114.00
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Heavy Metals Screening, Whole Blood (Arsenic, Lead, Mercury)
    1 X $70.50 = $70.50
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Subtotal $684.50
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