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    Folate
    2 X $23.00 = $46.00
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Pre-Albumin
    1 X $72.50 = $72.50
    Rubella IgM
    1 X $44.50 = $44.50
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Lactic Acid Dehydrogenase (LD)
    2 X $20.00 = $40.00
    Mumps Abs, IgG
    1 X $34.00 = $34.00
    Potassium, Plasma
    2 X $21.50 = $43.00
    Hep C Ab
    1 X $44.00 = $44.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Thyroid Panel (Free T3, Free T4, TSH)
    1 X $48.00 = $48.00
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Apolipoprotein A-1 (Apo-A)
    1 X $49.00 = $49.00
    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    Rubella Quant Ab., IgG
    1 X $31.00 = $31.00
    Subtotal $825.50
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