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    Bilirubin, Total
    1 X $18.50 = $18.50
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    DHEA-Sulfate
    1 X $30.00 = $30.00
    Lyme Disease Ab w/Reflex to Blot
    1 X $58.50 = $58.50
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Troponin-I
    1 X $44.00 = $44.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Rubella Quant Ab., IgG
    1 X $31.00 = $31.00
    Thyroid Panel (Free T3, Free T4, TSH)
    1 X $48.00 = $48.00
    Subtotal $651.00
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