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    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    Lipoprotein(a)
    1 X $37.00 = $37.00
    Bilirubin, Direct
    2 X $19.00 = $38.00
    Androstenedione
    1 X $45.00 = $45.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Measles (Rubeola) IgG
    1 X $40.00 = $40.00
    NMR LipoProfile
    1 X $110.00 = $110.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Troponin-I
    1 X $44.00 = $44.00
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Arthritis Panel
    1 X $90.00 = $90.00
    Amylase
    1 X $19.00 = $19.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Tissue Transglutaminase IgA
    1 X $41.50 = $41.50
    Amenorrhea Panel
    1 X $84.00 = $84.00
    SHBG (Sex Hormone Binding Globulin)
    1 X $34.00 = $34.00
    Thyroid Binding Globulin
    1 X $100.00 = $100.00
    Jo-1 Abs
    1 X $79.00 = $79.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Subtotal $1,058.50
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