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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Vitamin B12
    1 X $23.00 = $23.00
    Epstein Barr Heterophile Ag ,IgM
    1 X $32.50 = $32.50
    Saliva Hormone Female Evaluator (11 Days)
    1 X $364.00 = $364.00
    Complement C3
    1 X $32.00 = $32.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    Troponin-I
    1 X $44.00 = $44.00
    Renal Function Panel
    1 X $20.00 = $20.00
    Apolipoprotein A-1 (Apo-A)
    1 X $49.00 = $49.00
    Centromere Abs
    1 X $45.50 = $45.50
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    DNA Ab., d-s
    1 X $34.00 = $34.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Complement C4
    1 X $32.50 = $32.50
    Transferrin
    1 X $23.00 = $23.00
    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    T-Uptake
    1 X $30.00 = $30.00
    Thyroglobulin Abs
    1 X $35.00 = $35.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Anemia Panel
    1 X $44.00 = $44.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Subtotal $1,054.00
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