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    PSA Free and Total
    3 X $40.00 = $120.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Complement C4
    2 X $32.50 = $65.00
    T-Uptake
    1 X $30.00 = $30.00
    Serotonin, Serum
    1 X $115.50 = $115.50
    Follicle-Stimulating Hormone (FSH)
    2 X $30.00 = $60.00
    Reverse T3
    2 X $54.00 = $108.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Thyroxine Free (FT4)
    2 X $30.00 = $60.00
    Complement C3
    2 X $32.00 = $64.00
    Estrone (E1)
    1 X $47.00 = $47.00
    ANA Screen
    1 X $34.00 = $34.00
    Subtotal $790.50
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