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    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    Salivary Cortisol x4
    1 X $114.00 = $114.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    Folate
    1 X $23.00 = $23.00
    Fructosamine
    1 X $29.00 = $29.00
    Subtotal $295.50
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