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    PSA Free and Total
    1 X $40.00 = $40.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Platelet Count
    2 X $18.50 = $37.00
    Immunoglobulin G (IgG Total)
    1 X $40.00 = $40.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Progesterone
    1 X $32.00 = $32.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Lyme Disease Ab w/Reflex to Blot
    1 X $58.50 = $58.50
    Zinc
    1 X $40.00 = $40.00
    Measles, Mumps, Rubella
    1 X $76.00 = $76.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Testosterone, Total
    1 X $30.00 = $30.00
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Triglycerides
    1 X $19.00 = $19.00
    Rheumatoid Factor
    1 X $33.00 = $33.00
    Gamma Glutamyl Transpeptidase (GGT)
    1 X $20.00 = $20.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Subtotal $764.50
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