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    Thyroxine Free (FT4)
    2 X $30.00 = $60.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Gamma Glutamyl Transpeptidase (GGT)
    2 X $20.00 = $40.00
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Complete Blood Count (CBC)
    2 X $20.00 = $40.00
    Tri-iodothyronine Free T3
    2 X $30.00 = $60.00
    Hep A, B, C Ab Panel w/Reflex
    4 X $74.00 = $296.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    2 X $45.00 = $90.00
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Protein, Total
    1 X $18.50 = $18.50
    Lipoprotein(a)
    1 X $37.00 = $37.00
    Hep B Core Ab, Total w /Reflex to IgM
    1 X $44.00 = $44.00
    Glucose, Fasting, Plasma
    3 X $21.00 = $63.00
    H. Pylori Ab., IgG
    2 X $34.00 = $68.00
    Epstein Barr Viral Capsid Ag ,IgM
    2 X $46.50 = $93.00
    Scl-70 Abs
    1 X $60.50 = $60.50
    Vitamin D, 25-OH, LC/MS/MS (D2, D3, Total)
    1 X $74.00 = $74.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Rheumatoid Factor
    1 X $33.00 = $33.00
    Transferrin
    1 X $23.00 = $23.00
    Subtotal $1,272.50
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