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    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    sd LDL- (Small Dense Lipid)
    1 X $49.00 = $49.00
    LDL Cholesterol, measured
    1 X $20.00 = $20.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Iron, Total
    1 X $20.00 = $20.00
    Tissue Transglutaminase IgA
    1 X $41.50 = $41.50
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Subtotal $261.50
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