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    Hep A Ab Total w/Reflex to IgM
    3 X $44.00 = $132.00
    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Folate
    1 X $23.00 = $23.00
    Growth Hormone
    1 X $49.00 = $49.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Chloride
    1 X $18.00 = $18.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Cholesterol, Total
    1 X $19.00 = $19.00
    Cortisol
    1 X $34.00 = $34.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Fructosamine
    2 X $29.00 = $58.00
    CoQ10
    1 X $89.50 = $89.50
    Glutathione
    1 X $124.50 = $124.50
    H. Pylori Ab., IgG
    2 X $34.00 = $68.00
    Estrone (E1)
    2 X $47.00 = $94.00
    Obstetric Panel
    2 X $60.00 = $120.00
    Subtotal $1,056.50
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