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    Complement C4
    1 X $32.50 = $32.50
    Complete Blood Count (CBC) w/ Differential
    1 X $20.00 = $20.00
    Iron Total Binding Capacity, Total
    3 X $29.00 = $87.00
    Partial Thromboplastin Time (PTT), Activated
    2 X $19.50 = $39.00
    Reverse T3
    4 X $54.00 = $216.00
    PSA Free and Total
    2 X $40.00 = $80.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Iron, Total
    1 X $20.00 = $20.00
    sd LDL- (Small Dense Lipid)
    1 X $49.00 = $49.00
    Toxoplasma Gondi, Quant. IgG
    1 X $42.00 = $42.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Subtotal $776.50
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