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    Complete Blood Count (CBC) w/ Differential
    2 X $20.00 = $40.00
    Platelet Count
    1 X $18.50 = $18.50
    Iron Total Binding Capacity, Total
    3 X $29.00 = $87.00
    Mono Test (Epstein Barr Heterophile Ag IgM)
    1 X $32.50 = $32.50
    Sm (Smith) Abs
    3 X $48.00 = $144.00
    sd LDL- (Small Dense Lipid)
    2 X $49.00 = $98.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    Protein, Total
    1 X $18.50 = $18.50
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Vitamin B12
    1 X $23.00 = $23.00
    LDL Cholesterol, measured
    1 X $20.00 = $20.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Subtotal $731.00
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