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    Iron, Total
    1 X $20.00 = $20.00
    Folate
    1 X $23.00 = $23.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Pregnancy Test, Serum (Positive or Negative)
    1 X $29.00 = $29.00
    Chloride
    1 X $18.00 = $18.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    Growth Hormone
    1 X $49.00 = $49.00
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Rubella IgM
    1 X $44.50 = $44.50
    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Fibrinogen
    1 X $34.00 = $34.00
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Glucose
    1 X $20.00 = $20.00
    Omega Check
    1 X $109.00 = $109.00
    Subtotal $745.00
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