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    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Basic Metabolic Panel
    3 X $19.00 = $57.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    Follicle-Stimulating Hormone (FSH)
    2 X $30.00 = $60.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Fibrinogen
    1 X $34.00 = $34.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Estrogens, Total
    1 X $65.00 = $65.00
    Subtotal $457.50
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