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    Amenorrhea Panel
    1 X $84.00 = $84.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Sm/RNP Abs
    2 X $51.50 = $103.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    PSA Free and Total
    2 X $40.00 = $80.00
    Protein, Total
    1 X $18.50 = $18.50
    DNA Ab., d-s
    3 X $34.00 = $102.00
    Reverse T3
    2 X $54.00 = $108.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Albumin
    1 X $18.50 = $18.50
    Herpes I, IgG
    1 X $35.00 = $35.00
    Apolipoprotein Evaluation (Apo-A-1, Apo-B, Lpa)
    1 X $105.00 = $105.00
    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Alkaline Phosphatase
    1 X $19.00 = $19.00
    Subtotal $835.00
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