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    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Epstein Barr Evaluation (EBVCG, EBNAG, EDEAG, EBVCM)
    1 X $140.00 = $140.00
    Blood Parasite Smear
    2 X $50.00 = $100.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Free Thyroxine Index
    2 X $45.00 = $90.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Growth Hormone
    1 X $49.00 = $49.00
    Celiac Disease Evaluation (TTG-A, DGP-A, TTG-G, DGP-G)
    3 X $120.00 = $360.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Estradiol (E2)
    1 X $30.00 = $30.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Rubella Quant Ab., IgG
    1 X $31.00 = $31.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Fructosamine
    1 X $29.00 = $29.00
    Rheumatoid Arthritis Panel (ANA, RF, CCP)
    1 X $90.00 = $90.00
    CoQ10
    1 X $89.50 = $89.50
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Subtotal $1,479.00
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