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    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    2 X $45.00 = $90.00
    Estradiol (E2)
    2 X $30.00 = $60.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Fibrinogen
    1 X $34.00 = $34.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Subtotal $353.00
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