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    Estrogens, Total
    2 X $65.00 = $130.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Electrolyte Panel
    1 X $18.00 = $18.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Subtotal $306.50
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