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    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Pregnancy Test, Serum (Quantitative)
    2 X $30.00 = $60.00
    Blood Parasite Smear
    1 X $50.00 = $50.00
    Cancer Panel, Male Extended (PSA, Free & Total, CEA, CA 19-9, AFP, HCG
    1 X $140.00 = $140.00
    CA 19-9 Carbohydrate Antigen
    1 X $65.00 = $65.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    ANA Screen
    1 X $34.00 = $34.00
    Rubella IgM
    1 X $44.50 = $44.50
    Haptoglobin
    2 X $46.00 = $92.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Glucose
    1 X $20.00 = $20.00
    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Calcium, Serum
    1 X $19.00 = $19.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Ferritin
    1 X $23.00 = $23.00
    Jo-1 Abs
    1 X $79.00 = $79.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Copper
    1 X $41.00 = $41.00
    Testosterone, Total
    1 X $30.00 = $30.00
    Culture, Blood
    1 X $80.00 = $80.00
    Subtotal $1,438.00
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