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    Partial Thromboplastin Time (PTT), Activated
    3 X $19.50 = $58.50
    Reverse T3
    4 X $54.00 = $216.00
    Immunoglobulins G, A, M
    1 X $65.50 = $65.50
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    PSA Free and Total
    3 X $40.00 = $120.00
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    2 X $48.00 = $96.00
    Malaria Smear (Blood Parasite)
    1 X $50.00 = $50.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Chromatin
    1 X $91.00 = $91.00
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Renal Function Panel
    1 X $20.00 = $20.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Creatinine
    1 X $18.00 = $18.00
    Alkaline Phosphatase
    1 X $19.00 = $19.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Subtotal $1,088.00
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