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    Herpes II, IgG
    1 X $45.00 = $45.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    LDL Cholesterol, measured
    1 X $20.00 = $20.00
    Potassium, Plasma
    1 X $21.50 = $21.50
    Thyroid Panel (Free T3, Free T4, TSH)
    1 X $48.00 = $48.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    Vitamin B12
    1 X $23.00 = $23.00
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Complement C3
    1 X $32.00 = $32.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Pre-Albumin
    1 X $72.50 = $72.50
    Iron, Total
    1 X $20.00 = $20.00
    Torch Panel (TOX, RUB, CMV, HRP1, HRP2)
    1 X $154.00 = $154.00
    Complement C4
    1 X $32.50 = $32.50
    Subtotal $663.00
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