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    Free Thyroxine Index
    1 X $45.00 = $45.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    ANA Screen w/Reflex to Components
    2 X $34.00 = $68.00
    Folate
    1 X $23.00 = $23.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    1 X $120.00 = $120.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Carcinoembryonic Antigen (CEA)
    1 X $33.00 = $33.00
    ANA Screen + 11 ANA Components
    2 X $214.00 = $428.00
    Cancer Panel, Female (CA 15-3, CA 19-9, CA 125)
    1 X $121.00 = $121.00
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Growth Hormone
    1 X $49.00 = $49.00
    Hemoglobin A1C
    2 X $26.00 = $52.00
    Chloride
    1 X $18.00 = $18.00
    Cancer Panel, Female Extended (AFP, B-HCG Qual., CEA, CA 15-3, CA 19-9, CA 125)
    1 X $169.00 = $169.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Subtotal $1,235.50
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