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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
    1 X $29.00 = $29.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Reverse T3
    2 X $54.00 = $108.00
    PSA Free and Total
    1 X $40.00 = $40.00
    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
    Subtotal $358.50
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