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    Glucose
    1 X $20.00 = $20.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Hep A Ab, IgM
    1 X $44.00 = $44.00
    H. Pylori Ab., IgG
    2 X $34.00 = $68.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Lipase
    1 X $20.00 = $20.00
    Malaria Smear (Blood Parasite)
    1 X $50.00 = $50.00
    Heavy Metals Screening, Whole Blood (Arsenic, Lead, Mercury)
    2 X $70.50 = $141.00
    Growth Hormone
    2 X $49.00 = $98.00
    Pre-Albumin
    2 X $72.50 = $145.00
    Anemia Panel
    1 X $44.00 = $44.00
    Fibrinogen
    1 X $34.00 = $34.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Subtotal $812.50
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