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    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Fibrinogen
    1 X $34.00 = $34.00
    Testosterone, Free & Total w/SHBG
    2 X $43.00 = $86.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Jo-1 Abs
    1 X $79.00 = $79.00
    C-Reactive Protein (CRP)
    1 X $31.00 = $31.00
    Deamidated Gliadin Peptide IgA
    2 X $41.50 = $83.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    sd LDL- (Small Dense Lipid)
    1 X $49.00 = $49.00
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    CardioPro Advanced
    1 X $214.00 = $214.00
    Amylase
    1 X $19.00 = $19.00
    Partial Thromboplastin Time (PTT), Activated
    2 X $19.50 = $39.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    ABO Group & RH Type
    2 X $30.00 = $60.00
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Malaria Smear (Blood Parasite)
    1 X $50.00 = $50.00
    Transferrin
    1 X $23.00 = $23.00
    Subtotal $1,158.50
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