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    Urea Nitrogen, (BUN) Serum
    3 X $18.50 = $55.50
    Thyroglobulin Abs
    1 X $35.00 = $35.00
    SS-A (RO) Abs
    3 X $41.00 = $123.00
    Vitamin D, 25-OH, LC/MS/MS (D2, D3, Total)
    1 X $74.00 = $74.00
    Amylase
    1 X $19.00 = $19.00
    ABO Group & RH Type
    2 X $30.00 = $60.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Folate
    1 X $23.00 = $23.00
    Apolipoprotein A-1 (Apo-A)
    1 X $49.00 = $49.00
    ANA Screen
    3 X $34.00 = $102.00
    Alanine Aminotransferase (ALT)
    1 X $20.00 = $20.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    11 ANA Components (no ANA Screen)
    2 X $214.00 = $428.00
    Bilirubin, Total
    2 X $18.50 = $37.00
    Calcium, Serum
    1 X $19.00 = $19.00
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    ANA Screen w/Reflex to Components
    1 X $34.00 = $34.00
    Testosterone, Free & Total w/SHBG
    1 X $43.00 = $43.00
    Torch Panel (TOX, RUB, CMV, HRP1, HRP2)
    1 X $154.00 = $154.00
    Thyroid-Stimulating Hormone (TSH)
    1 X $30.00 = $30.00
    Troponin-I
    1 X $44.00 = $44.00
    Subtotal $1,503.50
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